Provider Demographics
NPI:1235939893
Name:ALARRABIYYAT, BRANDIE BERNICE (LVN)
Entity type:Individual
Prefix:MISS
First Name:BRANDIE
Middle Name:BERNICE
Last Name:ALARRABIYYAT
Suffix:
Gender:
Credentials:LVN
Other - Prefix:MISS
Other - First Name:BRANDIE
Other - Middle Name:BERNICE
Other - Last Name:NOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8973 GRINDELLA CT
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92344-0027
Mailing Address - Country:US
Mailing Address - Phone:760-680-7355
Mailing Address - Fax:
Practice Address - Street 1:14677 MERRILL AVE
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-4219
Practice Address - Country:US
Practice Address - Phone:951-643-2340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA723246164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse