# BRENNA FOX PMHNP-BC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164056305
- **Authorized official:** BRENNA E FOX (OWNER)
- **Authorized official phone:** (716) 545-8161

## Contact information

- **Practice address:** 21 LINWOOD AVE, WILLIAMSVILLE, NY 14221-6501
- **Practice address phone:** (716) 626-9016
- **Mailing address:** 15 BRIARWOOD LN, GRAND ISLAND, NY 14072-1972
- **Mailing address phone:** (716) 626-9016
- **Mailing address fax:** (716) 626-4271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2020
- **Last updated:** 02/26/2020