Harris, Brenda

Harris, Brenda is an individual health care provider with primary practice located at 908 19Th St , Woodward OK 73801-2307. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Harris, Brenda can be contacted via phone (580) 254-3396.

Contact Information

Primary practice address
908 19Th St Woodward OK 73801-2307
Phone: (580) 254-3396
Fax: (580) 256-1731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R0047494 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 47494 Oklahoma

Profile Details

NPI number 1649207887
LBN Legal business name Harris, Brenda
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Oct 21st, 2020 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649207887 NPPES
Oklahoma MEDICAID 100146050

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