Brandie Dawn Blank, LVN
Individual provider Active NPI Licensed Vocational Nurse · Azle, TX
NPI 1154810075 · NPPES record last updated May 7, 2018
Key facts
- NPI
- 1154810075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 233978 (TX)
- Practice address
- 525 Commerce St Apt 111
Azle, TX 76020-2467 - Phone
- (682) 218-9816
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233978 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 233978 | TX | Yes |
Addresses
Primary practice location
525 Commerce St Apt 111
Azle, TX 76020-2467
Mailing address
525 Commerce St Apt 111
Azle, TX 76020-2467
Phone (682) 218-9816
Other providers in Azle, TX
- Patti Becher
- Melissa Bell
- Nathaniel Lin Bemis
- Nicholas Oliver Berezich
- Blackbird Behavioral Health PLLC
- BLDL Industries
- BLDL Industries
- Brande Boling
- Machele L Bovea
- Brace Chiropractic and Wellness Center LLC
All providers in Azle, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.