Individual
MISS BRENDA MASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9188 PAMPAS CT, COVINGTON, KY 41015-4213
(859) 415-3099
Mailing address
9188 PAMPAS CT, COVINGTON, KY 41015-4213
(859) 415-3099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008379
KY
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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