Provider Demographics
NPI:1487468716
Name:BATIONO, BRANDI LEIGH
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:LEIGH
Last Name:BATIONO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 NORTHWESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-3342
Mailing Address - Country:US
Mailing Address - Phone:681-222-3126
Mailing Address - Fax:
Practice Address - Street 1:115 NORTHWESTERN AVE
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-3342
Practice Address - Country:US
Practice Address - Phone:681-222-3126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant