Brandi Brister, RN

Individual provider Active NPI School Registered Nurse · Hobbs, NM

NPI 1649728825 · NPPES record last updated Sep 15, 2016

Key facts

NPI
1649728825
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
R62143 (NM)
Practice address
315 E Clinton St
Hobbs, NM 88240-8238
Phone
(575) 393-0755
Fax
(575) 393-0249
NPI assigned
Sep 15, 2016
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R62143NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Education Cooperative VII Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R62143 NM Yes

Addresses

Primary practice location

315 E Clinton St
Hobbs, NM 88240-8238

Mailing address

315 E Clinton St
Hobbs, NM 88240-8238
Phone (575) 393-0755

Other providers in Hobbs, NM

All providers in Hobbs, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.