Individual
BRANDY L. LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
3800 S W S YOUNG DR STE 402, KILLEEN, TX 76542-3374
(254) 618-4960
(254) 618-4965
Mailing address
1908 N LAURENT ST STE 410, VICTORIA, TX 77901-5469
(361) 572-0333
(361) 371-7090
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP112339
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1908030-04
—
TX
Enumeration date
08/21/2007
Last updated
09/27/2019
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