Individual
MISS BRENNA A HYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 MARKET ST, PHILADELPHIA, PA 19104-3329
(267) 426-5200
Mailing address
2207 WALNUT ST APT 3M, PHILADELPHIA, PA 19103-4355
(908) 670-1983
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
H96670966160954
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
SP028884
PA
Other
Enumeration date
03/03/2017
Last updated
12/07/2023
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