Individual
BRENDA J EDUSEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28169804A
IN
363L00000X
Nurse Practitioner
Primary
71003679A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201032910
—
IN
Enumeration date
08/15/2011
Last updated
06/17/2016
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