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Individual

MRS. BRENDA KAYE HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
4506 BRIARWOOD AVE, MIDLAND, TX 79707-2642
(432) 689-6818
(432) 689-6901
Mailing address
3702 FAIRHAVEN CT, MIDLAND, TX 79707-4321
(432) 260-2292

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP116393
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
547131
MEDICAL LICENSE
TX
Enumeration date
04/04/2008
Last updated
05/27/2016
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