Provider Demographics
NPI:1083992044
Name:HARPER, BRENDA ANNE (APRN)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:ANNE
Last Name:HARPER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15411 CORIAN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-5900
Mailing Address - Country:US
Mailing Address - Phone:808-224-5311
Mailing Address - Fax:210-404-9831
Practice Address - Street 1:4800 FREDERICKSBURG RD STE 127
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3781
Practice Address - Country:US
Practice Address - Phone:210-468-0800
Practice Address - Fax:210-733-8649
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011020363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health