IndividualActive
Brandy Lake, FNP-C
NPI 1790621787 · Acute Care Nurse Practitioner · Marshall, MO
Provider details
- NPI number
- 1790621787
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2026015358 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2305 S Highway 65
Marshall, MO 65340-3702
Phone: (660) 886-7431
Approximate (ZIP-level) locationGet directions
Mailing address
2305 S Highway 65
Marshall, MO 65340-3702
Registry dates
- Enumerated
- 2026-04-24
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.