Individual
MRS. BRENDA FAYE NUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
125 HILTON AVE, YOUNGSTOWN, OH 44507-1980
(330) 207-2060
Mailing address
125 HILTON AVE, YOUNGSTOWN, OH 44507-1980
(330) 207-2060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.118379
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2784456
—
OH
Enumeration date
11/07/2007
Last updated
08/24/2011
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