# BRANDY DENISE TATTERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457930703
- **Gender:** F
- **Credential:** CPNP-PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | 255031 | NC | — |
| 363LP0200X | Pediatric Nurse Practitioner | 5014941 | NC | Yes |

## Other

- **Enumeration date:** 04/05/2021
- **Last updated:** 08/25/2021