Provider Demographics
NPI:1003467176
Name:DAWS, BRANDIE (FNP-C)
Entity type:Individual
Prefix:
First Name:BRANDIE
Middle Name:
Last Name:DAWS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 MISTLETOE DR
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:TX
Mailing Address - Zip Code:76374-2317
Mailing Address - Country:US
Mailing Address - Phone:940-235-5238
Mailing Address - Fax:
Practice Address - Street 1:100 S AVENUE M
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:TX
Practice Address - Zip Code:76374-1642
Practice Address - Country:US
Practice Address - Phone:940-564-3546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX669419363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily