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Individual

BRENDA WILKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
442 LORIMER ST, BROOKLYN, NY 11206-1030
(516) 939-4945
Mailing address
442 LORIMER ST, STD PMB 5025, BROOKLYN, NY 11206-1030

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
494846
NY
163W00000X
Registered Nurse
Primary
496846
NY
363LP2300X
Primary Care Nurse Practitioner
312648
NY

Other

Enumeration date
09/01/2020
Last updated
02/12/2026
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