Tedder, Brandi Lynnette

Tedder, Brandi Lynnette is an individual health care provider with primary practice located at 1600 N Main St , Lovington NM 88260. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tedder, Brandi Lynnette can be contacted via phone (575) 396-6611.

Contact Information

Primary practice address
1600 N Main St Lovington NM 88260
Phone: (575) 396-6611
Fax: (575) 396-5640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP134377 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-03427 New Mexico

Profile Details

NPI number 1841714300
LBN Legal business name Tedder, Brandi Lynnette
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2017
Last updated May 8th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841714300 NPPES
New Mexico MEDICAID 66806569

Popular Providers