Individual
BRENDA SUE GINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BS
Contact information
Practice address
1001 BELMONT AVE, YOUNGSTOWN, OH 44504-1003
(330) 747-6446
(330) 747-6843
Mailing address
1001 BELMONT AVE, YOUNGSTOWN, OH 44504-1003
(330) 747-6446
(330) 747-6843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019934
OH
364SA2200X
Adult Health Clinical Nurse Specialist
COA.13983-NS
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083457
—
OH
01
—
H188850
MEDICARE PTAN
OH
Enumeration date
03/05/2013
Last updated
01/10/2017
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