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Individual
BRANDI HENDERSON
Active
Individual
BRANDI HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
734339
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP12963
TX
363LP0200X
Pediatric Nurse Practitioner
129638
TX
363LP0200X
Pediatric Nurse Practitioner
AP129638
TX
Other
Enumeration date
11/13/2015
Last updated
12/03/2024
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