Brandy Amber Statezny, RN is a
Registered Nurse based in Pueblo, California. Brandy Amber Statezny is licensed to practice in Colorado (license number 178042) and her current practice location is
110 E Routt, Pueblo, California. She can be reached at her office (for appointments etc.) via phone at
(719) 543-8711.
NPI number for Brandy Amber Statezny is 1427211168 and her current mailing address is 310 Colorado Ave, Pueblo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427211168.
Provider's Profile
| Full Name | Brandy Amber Statezny |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 110 E Routt, Pueblo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427211168
- Provider Enumeration Date: 07/02/2008
- Last Update Date: 07/02/2008
Medical Identifiers
Medical identifiers for Brandy Amber Statezny such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427211168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 178042 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brandy Amber Statezny is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brandy Amber Statezny, RN
310 Colorado Ave,
Pueblo, CA 81004
Ph: (719) 543-8718 | Brandy Amber Statezny, RN
110 E Routt,
Pueblo, CA 91004
Ph: (719) 543-8711 |
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