Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandi Blossom

Individual provider Licensed Practical Nurse · NPI 1649784042

Brandi Blossom is a Licensed Practical Nurse in Tahlequah, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2017

Practice location Address checks out

711 S Muskogee Ave
Tahlequah, OK 74464-4717
Phone: (918) 207-0078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 0054037 (OK)

Record details

NPI number1649784042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2017
Last updated in NPPESNovember 21, 2017

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