Individual
BRENDA LEE HOUDESHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 N FRONT ST, CLEARFIELD, PA 16830-2411
(814) 590-6822
Mailing address
8 N FRONT ST, CLEARFIELD, PA 16830-2411
(814) 590-6822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG11210112
PA
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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