Individual
BRENDALYN LOUISE TAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANCC FNP-BC
Contact information
Practice address
502 MADISON OAK DR STE 310, SAN ANTONIO, TX 78258-4298
(210) 483-8883
Mailing address
PO BOX 5730, BELFAST, ME 04915-5700
(888) 402-7256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1068218
TX
363LF0000X
Family Nurse Practitioner
Primary
1068218
TX
Other
Enumeration date
05/05/2023
Last updated
01/13/2026
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