Provider Demographics
NPI:1619563061
Name:HENDRIX, BRYTNI ALYSSA (MSN, APRN, AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:BRYTNI
Middle Name:ALYSSA
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:MSN, APRN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 WORTH ST STE 760
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2005
Mailing Address - Country:US
Mailing Address - Phone:469-800-7370
Mailing Address - Fax:469-800-7380
Practice Address - Street 1:3410 WORTH ST STE 760
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2005
Practice Address - Country:US
Practice Address - Phone:469-800-7370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1004864363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care