Graham, Brandy Nichole
Graham, Brandy Nichole is an individual health care provider with primary practice located at 6363 N State Highway 161 Ste 100 , Irving TX 75038-2239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graham, Brandy Nichole can be contacted via phone (469) 200-3272.Contact Information
Primary practice address
6363 N State Highway 161 Ste 100
Irving TX 75038-2239
Phone: (469) 200-3272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 735423 | Texas |
Profile Details
| NPI number | 1780925396 |
|---|---|
| LBN Legal business name | Graham, Brandy Nichole |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2013 |
| Last updated | Feb 21st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780925396 | NPPES |
| Texas | MEDICAID | 322921301 |
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