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Contact Information

BRANDIE M HEREDIA, RN
2410 S GILBERT RD STE 1
CHANDLER, AZ85286-1590
 Phone: 480-737-1394
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for BRANDIE M HEREDIA · (Female)

NPI # 1285453134
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 10/08/2024
Last updated 02/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 320249
  • AZ License # RN172688
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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