Individual
MS. BRANNIGAN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, BSN, RN
Contact information
Practice address
2736 DENALI PARK DR, GRAND PRAIRIE, TX 75050-1309
(469) 765-6592
Mailing address
2736 DENALI PARK DR, GRAND PRAIRIE, TX 75050-1309
(469) 765-6592
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
779844
TX
163WC0200X
Critical Care Medicine Registered Nurse
779844
TX
163WC1500X
Community Health Registered Nurse
779844
TX
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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