Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maranda Brooke Etheredge, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1871470682

Maranda Brooke Etheredge, AGACNP-BC is a Nurse Practitioner in Dallas, Texas. Qualified in 2025, 1 year ago. Practices with Urgent Surgery Associates PA, a 57-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

2710 Swiss Ave
Dallas, TX 75204-5900
Phone: (214) 821-1599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1212740 (TX)

Record details

NPI number1871470682
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Urgent Surgery Associates Pa — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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