Individual provider · Type 1 NPI
Brandon Wayne Vidrine, NP
Family Nurse Practitioner · Houston, TX
NPI number
1053540187
Active
Practice location
1635 North Loop W
Houston, TX 77008-1532
Mailing address
909 Frostwood Dr Ste 1.100
Houston, TX 77024-2301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN109960 (LA) |
| Family Nurse Practitioner | 363LF0000X | 835831 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | AP123619 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1053540187
Brandon Wayne Vidrine, NP's National Provider Identifier is 1053540187, issued on Jul 10, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Houston, TX. The record was last updated on Sep 25, 2024.