Provider Demographics
NPI:1366683286
Name:LUDWIG, BRENDA H (EDD, FNP-BC, RN)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:H
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:EDD, FNP-BC, RN
Other - Prefix:DR
Other - First Name:BRENDA
Other - Middle Name:H
Other - Last Name:LUDWIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDD, MS, APRN, FNP
Mailing Address - Street 1:109 WINDEMERE DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-1635
Mailing Address - Country:US
Mailing Address - Phone:864-901-8311
Mailing Address - Fax:
Practice Address - Street 1:89A SONIA DR
Practice Address - Street 2:MEDICAL CONSULTANTS OF THE CAROLINAS
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-4540
Practice Address - Country:US
Practice Address - Phone:864-530-0302
Practice Address - Fax:864-530-0304
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCRX 3763363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily