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Individual
BRENDA CAMPOS-ILESANMI
Active
Individual
BRENDA CAMPOS-ILESANMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,APRN,FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1001850
TX
363LF0000X
Family Nurse Practitioner
1001850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1001850
STATE LICENSE
TX
Enumeration date
06/30/2020
Last updated
08/06/2025
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