Individual
BRENDA RENE STOPSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1000 STATE ST, MCCALL, ID 83638-3704
(208) 630-2315
Mailing address
42 GARDEN LN, MCCALL, ID 83638-5011
(360) 590-2311
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
61591
ID
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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