Doctor Name: | BRENDA W. MCCURDY |
NPI Number: | 1083015531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AGNP-C |
License Number: | RN225409 |
Business Practice Address: | 809a E 11th Ave Cordele, GA - 310153422 |
Business Phone Number: | 2292762552 |
Business Fax Number: | |
Mailing Address: | Po Box 1342, LAKE PARK |
State: | GA |
Postal Code: | 316361342 |
Phone Number: | 2293004543 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2014 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | RN225409 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |