Individual
DANETTE HARRELL BRINKLEY
Active
Individual
DANETTE HARRELL BRINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5004837
NC
363LF0000X
Family Nurse Practitioner
Primary
5004837
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132836
RN
NC
01
—
2594945
MEDICARE PTAN
NC
01
—
5004837
NURSE PRACTITIONER
NC
01
—
NC6207B
MEDICARE PTAN
NC
01
—
NC6207C
MEDICARE PTAN
NC
01
—
NC6207D
MEDICARE PTAN
NC
Enumeration date
09/08/2010
Last updated
03/07/2023
Update your record
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