| Doctor Name: | BRANDI DENNISON FARRELL |
| NPI Number: | 1023152030 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN ,CPNP- AC,PC |
| License Number: | 26NJ00093600 |
| Business Practice Address: | 801 7th Ave Ft Worth, TX - 761042733 |
| Business Phone Number: | 6828854193 |
| Business Fax Number: | 6828857956 |
| Mailing Address: | Po Box 99371, Pediatric Intensive Care Unit FORT WORTH |
| State: | TX |
| Postal Code: | 761990371 |
| Phone Number: | 6828851855 |
| Fax Number: | 6828857347 |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 04/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 26NJ00093600 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |