Individual
BRIAN HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
515 E MAIN ST, HOBBS, NM 88240-8119
(505) 397-0560
(505) 397-0836
Mailing address
1927 N FOWLER ST, HOBBS, NM 88240-3330
(505) 391-8108
(505) 397-0836
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R42824
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26-927
—
NM
Enumeration date
05/23/2006
Last updated
07/08/2007
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