Donna L Brazell, N.P.
Nurse Practitioner, Family in Idalou, TX. Individual provider (NPI-1).
NPI number1346354818
StatusActive
Last updated in NPPESMar 18, 2021
Details
- NPI
- 1346354818
- Entity type
- Individual (NPI-1)
- Name
- Donna L Brazell
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2006
- Certification date
- Mar 18, 2021
- Last updated
- Mar 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP110366 | TX | Yes |
| 163W00000X | Registered Nurse | 551054 | TX |
Practice location
113 Walnut StIdalou, TX 79329
Phone 806-892-2537 · Fax 806-892-2726
Mailing address
5219 City Bank Pkwy Ste 35Lubbock, TX 79407
Phone 806-761-0333 · Fax 806-782-0097
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