Individual
MS. GAIL ANN BRENEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18864 STATE ROUTE 245, MARYSVILLE, OH 43040-9655
(937) 644-2641
Mailing address
16667 PAVER BARNES RD, MARYSVILLE, OH 43040-9151
(937) 243-2631
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN274667
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2277110
—
OH
Enumeration date
07/14/2006
Last updated
07/09/2007
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