Individual
BRENDA DYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, DNP APRN FNP-BC
Contact information
Practice address
16939 SW 134TH AVE, ARCHER, FL 32618-5413
(352) 265-2550
Mailing address
10069 SR 51 S, LIVE OAK, FL 32060-5725
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 2967892
FL
Other
Enumeration date
05/18/2007
Last updated
11/14/2022
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