Individual
BREANNE NICHOLE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5321 S FM 14, HAWKINS, TX 75765-4839
(903) 769-2990
(903) 769-5125
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28203215A
IN
363LF0000X
Family Nurse Practitioner
Primary
1229794
TX
363LF0000X
Family Nurse Practitioner
71014280A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300081344
—
IN
Enumeration date
07/07/2023
Last updated
06/16/2026
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