Provider Demographics
NPI:1174023840
Name:SCOWDEN, BRANDI E
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:E
Last Name:SCOWDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 ROSS AVE
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-5954
Mailing Address - Country:US
Mailing Address - Phone:325-513-7377
Mailing Address - Fax:
Practice Address - Street 1:2117 ROSS AVE
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-5954
Practice Address - Country:US
Practice Address - Phone:325-513-7377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX165650164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse