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NPI Code Detail

MEDICARE: BREANNA PARKER DEHNAD FNP-C

MEDICARE: BREANNA PARKER DEHNAD FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1011831TX

General Provider Information

NPI Number : 1588279236
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA PARKER DEHNAD FNP-C
Provider Business Mailing Address
First Line : 950 E STATE HIGHWAY 114 STE 200
Second Line :
City : SOUTHLAKE
State : TX
Zip : 76092-5261
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4370 MEDICAL ARTS DR STE 295
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-1742
Country : US
Telephone Number : 972-691-3777
Fax Number : 972-691-3666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2020
Last Update Date : 12/02/2025

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Directions to “ BREANNA PARKER DEHNAD FNP-C” Practice Location

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