# BRANDI C MALONE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1679855308
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | F0811448 | TX | Yes |

## Other

- **Enumeration date:** 09/20/2011
- **Last updated:** 06/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2930422 | — | TX |
| 01 | — | 738639 | TEXAS BOARD OF NURSING NP LICENSE | — |
| 01 | — | AP120947 | FNP LICENSE | TX |
| 01 | — | F0811448 | AANP | TX |