Individual
DR. BRENDAN GORDON TENNEFOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, AGPCNP, ACHPN
Contact information
Practice address
914 W CARLISLE AVE, SPOKANE, WA 99205-3309
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(858) 947-2017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201708761RN
OR
163W00000X
Registered Nurse
65076
ID
163W00000X
Registered Nurse
RN60800461
WA
363L00000X
Nurse Practitioner
201709029NP-PP
OR
363L00000X
Nurse Practitioner
Primary
AP61074323
WA
363LA2200X
Adult Health Nurse Practitioner
201709029NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
65076
ID
Other
Enumeration date
11/06/2017
Last updated
10/19/2021
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