MARY HAZEL BRANTLEY (NPI# 1376052860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376052860 |
| Entity Type | Individual |
| Full Name | MARY HAZEL BRANTLEY |
| Credential | MSN, RN, FNP-C |
| Practice Address |
4301 College Dr Rm 400 Vernon TX 76384-3166 |
| Practice Telephone | (940) 553-2802 |
| Practice Fax Number | 9405532893 |
| Mailing Telephone | 9405532802 |
| Mailing Fax Number | 9405532893 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135219 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982724910 | Mary L Brantley | Registered Nurse | 3620 W 12th Ave, Kennewick, WA 99338-2111 | 2007-03-31 |
| 1346516994 | Mary Lisa Brantley | Nurse Practitioner | 521 Moye Blvd, Ecu Physicians Internal Medicine, Greenville, NC 27834-2849 | 2012-03-28 |
| 1366742272 | Mary Brantley | Counselor | 1485 Spruce St Ste L, Riverside, CA 92507-7421 | 2010-10-25 |
| 1538364179 | Mary A Brantley | Social Worker | 222 W 19th St, Norfolk, VA 23517-2218 | 2007-06-15 |
| Street Address |
4301 COLLEGE DR RM 400 |
| City | VERNON |
| State | TX |
| Zip Code | 76384-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097972 | Vera Marie Kemp | Registered Nurse | 2210 14th St, Vernon, TX 76384 | 2019-11-08 |
| 1477970598 | Vernon Smiles, PC | Dentist | 4409 Hillcrest Dr., Vernon, TX 76384 | 2014-03-26 |
| 1215138664 | Jc Parmer | Dentist | 220 Paradise St, Suite B, Vernon, TX 76384 | 2007-05-31 |
| 1013058486 | Northside Independent School District | Local Education Agency (LEA) | 18040 Hwy. 283, Vernon, TX 76384 | 2007-02-09 |
| 1316026602 | Babubhai M Patel | Internal Medicine | 4730 College St, Ntsh Vernon Campus, Vernon, TX 76384 | 2006-11-06 |
| 1992757579 | Vernon Care Center, L.p. | Durable Medical Equipment & Medical Supplies | 2301 Texas Street, Vernon, TX 76384 | 2006-05-16 |
| 1982655163 | City of Vernon | Ambulance | 4109 Wilbarger, Vernon, TX 76384 | 2006-05-13 |
| 1154395168 | Kimberly B. Horn | Occupational Therapist | 4301 College Drive, Suite 400, Vernon, TX 76384 | 2006-02-15 |
| 1316931835 | Wilbarger County Hospital District | Medicare Defined Swing Bed Unit | 920 Hillcrest Dr, Vernon, TX 76384 | 2005-09-12 |
| 1003388406 | Gustavo Alcantar Aleman Jr. | Nurse Practitioner | 4730 College Drive, Vernon, TX 76384 | 2018-12-23 |
| Find all providers in zip 76384 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885021 | Mary Margaret Thompson | Nurse Practitioner | 4301 College Dr Rm 700, Vernon, TX 76384-3166 | 2020-09-11 |
| 1790251668 | Stephania N Dawiczyk | Nurse Practitioner | 520 Hartford Tpke Ste M, Vernon, CT 06066-5044 | 2018-10-18 |
| 1427532993 | Milos Tomic | Nurse Practitioner | 27 Naek Rd Ste 2, Vernon, CT 06066-3965 | 2018-09-20 |
| 1992253090 | Crystal Mccoy | Nurse Practitioner | 44946 Highway 17, Vernon, AL 35592-3542 | 2016-09-17 |
| 1629462940 | Catherine Louise Francis | Nurse Practitioner | 30 Lafayette Sq Ste 109, Vernon, CT 06066-4554 | 2015-03-25 |
| 1649692922 | Amber Diane Pennington | Nurse Practitioner | 110 Medical Clinic Drive, Vernon, AL 35592 | 2014-01-06 |
| 1437162583 | James Kelly | Nurse Practitioner | 554 Talcottville Rd, Vernon, CT 06066-2310 | 2006-08-13 |
| 1326095944 | Dawn Rene', Inc. | Nurse Practitioner | 3027 Main St, Post Office Box 829, Vernon, FL 32462-2220 | 2006-05-28 |
| 1215981667 | Dawn Rene Frost | Nurse Practitioner | 3027 Main Street, Vernon, FL 32462-2220 | 2006-05-20 |
| 1215988134 | Jill A Myers | Nurse Practitioner | 4857 State Route 5, Vernon, NY 13476-3530 | 2006-05-15 |
| Find all providers in VERNON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.