Organization
BRENNA FOX PMHNP-BC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNA E FOX (OWNER)
(716) 545-8161
Entity
Organization
Contact information
Practice address
21 LINWOOD AVE, WILLIAMSVILLE, NY 14221-6501
(716) 626-9016
Mailing address
15 BRIARWOOD LN, GRAND ISLAND, NY 14072-1972
(716) 626-9016
(716) 626-4271
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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