Provider Demographics
NPI:1538669593
Name:HARBIN, BRANDI LYNN (LVN)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:LYNN
Last Name:HARBIN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2173 WHITE MOUND RD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-5606
Mailing Address - Country:US
Mailing Address - Phone:469-371-7516
Mailing Address - Fax:
Practice Address - Street 1:2173 WHITE MOUND RD
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5606
Practice Address - Country:US
Practice Address - Phone:469-371-7516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-16
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211146164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse