Provider Demographics
NPI:1942731369
Name:LADKANI, BRENDA RISINGER (MSN, RN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:RISINGER
Last Name:LADKANI
Suffix:
Gender:F
Credentials:MSN, RN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27535 GATLIN LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3747
Mailing Address - Country:US
Mailing Address - Phone:281-770-1337
Mailing Address - Fax:
Practice Address - Street 1:701 E DAVIS ST STE A
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-3102
Practice Address - Country:US
Practice Address - Phone:092-661-8884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133305363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily