Individual
BRITTANY DIRDACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3044 OLD DENTON RD, SUITE 317, CARROLLTON, TX 75007-5016
(972) 242-4440
Mailing address
2413 TOP RAIL LN, SOUTHLAKE, TX 76092-5741
(973) 876-7111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16210800
NJ
163W00000X
Registered Nurse
899441
TX
207Q00000X
Family Medicine Physician
AP133736
TX
363LF0000X
Family Nurse Practitioner
Primary
AP133736
TX
Other
Enumeration date
05/05/2017
Last updated
11/08/2017
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