Campos-Ilesanmi, Brenda

Campos-Ilesanmi, Brenda is an individual health care provider with primary practice located at 4214 Andrews Hwy Ste 102 , Midland TX 79703-4815. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Campos-Ilesanmi, Brenda can be contacted via phone (432) 221-5580.

Contact Information

Primary practice address
4214 Andrews Hwy Ste 102 Midland TX 79703-4815
Phone: (432) 221-5580
Fax: (833) 464-3487
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1001850 Texas

Profile Details

NPI number 1740807304
LBN Legal business name Campos-Ilesanmi, Brenda
Credentials MSN,APRN,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2020
Last updated Apr 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740807304 NPPES
Texas Other 1001850 STATE LICENSE

Popular Providers