Individual
BRENDA S IFFLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
321 WILSON ST, HENDERSON, TX 75652-5957
(903) 392-0005
(903) 392-7772
Mailing address
321 WILSON ST, HENDERSON, TX 75652-5957
(903) 392-0005
(903) 392-7772
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP135282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3842684-01
—
TX
Enumeration date
11/15/2017
Last updated
04/25/2023
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