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Individual

MS. BRANDY PRINCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1207 ARISTA DRIVE, SUITE 103, ROCKWALL, TX 75032
(469) 402-1877
(469) 402-1969
Mailing address
620 N KIMBALL AVE, SUITE 100, SOUTHLAKE, TX 76092
(817) 328-8376
(817) 328-8379

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
658153
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
658153
RN
TX
Enumeration date
02/14/2007
Last updated
08/18/2016
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