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Individual

BRANDIE MARIE HEREDIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2410 S GILBERT RD STE 1, CHANDLER, AZ 85286-1590
(480) 737-1394
Mailing address
3317 S HIGLEY RD STE 114-213, GILBERT, AZ 85297-5436
(480) 204-1924

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN172688
AZ
363LF0000X
Family Nurse Practitioner
Primary
320249
AZ

Other

Enumeration date
10/08/2024
Last updated
02/14/2025
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