Provider Demographics
NPI:1275165318
Name:HANUS, BRANDY MITCHELL (RN)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:MITCHELL
Last Name:HANUS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 BEECHNUT
Mailing Address - Street 2:NEONATAL INTENSIVE CARE UNIT
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-772-3300
Mailing Address - Fax:
Practice Address - Street 1:911 ASHFORD PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2401
Practice Address - Country:US
Practice Address - Phone:713-498-9206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX781512163WN0002X
TXAP145477363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX781512OtherRN LISCENSE