Individual
BRENDA HUITT ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-FNP
Contact information
Practice address
5701 BRYANT IRVIN RD, SUITE 201, FORT WORTH, TX 76132-4029
(817) 263-2500
Mailing address
5701 BRYANT IRVIN RD, SUITE 201, FORT WORTH, TX 76132-4029
(817) 263-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
557944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111947107
—
TX
05
—
111947108
—
TX
01
—
P00744160
RR MEDICARE PTAN
TX
Enumeration date
10/10/2005
Last updated
04/13/2022
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