Individual
BRENDA MILLER TOCKET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
79 S GATES AVE, KINGSTON, PA 18704-5421
(570) 406-7350
Mailing address
79 S GATES AVE, KINGSTON, PA 18704-5421
(570) 406-7350
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP023525
PA
Other
Enumeration date
03/29/2021
Last updated
05/07/2021
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