Individual
BRENDA BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2751 BAY PARK DR, OREGON, OH 43616-4921
(419) 691-4235
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 691-4235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN116712 NP02298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2358756
—
OH
01
—
500028844
RAILROAD MEDICARE
—
Enumeration date
07/05/2005
Last updated
06/20/2011
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