37D2130512 CLIA NUMBER - BRENDA K HUENERGARDT MD

Laboratory Demographics

CLIA Number: 37D2130512

Facility Name: BRENDA K HUENERGARDT MD

Facility Address:
1650 MAIN ST STE B
WOODWARD, OK
ZIP 73801
Get Directions

Facility Phone Number: 580 571-8009

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649207887

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	37D2130512
LAB Type	Physician Office
Facility Name	BRENDA K HUENERGARDT MD
Street	1650 MAIN ST STE B
City	WOODWARD
State	OK
ZIP	73801
Phone	580 571-8009
CertificateType	4
CertificateEffectiveDate	5/10/2023
CertificateExpirationDate	5/9/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024