Doctor Name: | BRENDA NYAMBWEKE |
NPI Number: | 1205185758 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 28182685A |
Business Practice Address: | 8840 Benbrook Blvd Benbrook, TX - 761263440 |
Business Phone Number: | 6822336832 |
Business Fax Number: | 8172497375 |
Mailing Address: | 1023 Parview Cir, CEDAR HILL |
State: | TX |
Postal Code: | 751046900 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/30/2012 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28182685A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |