Doctor Name: | MRS. BRENDA LINDSEY AYER |
NPI Number: | 1013028349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN CFNP |
License Number: | 558301 |
Business Practice Address: | 218 S Palestine Athens, TX - 75751 |
Business Phone Number: | 9036772664 |
Business Fax Number: | |
Mailing Address: | 12 Guadalupe Drive, ATHENS |
State: | TX |
Postal Code: | 75751 |
Phone Number: | 9036772276 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 558301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |