Individual
MRS. BRENDA S. ENRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-5000
Mailing address
19009 SUGAR LAKE TRL, COHASSET, MN 55721-8950
(218) 326-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704133894
MI
363LF0000X
Family Nurse Practitioner
Primary
R192321-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704133894
MICHIGAN STATE LICENSE #
MI
01
—
R192323-2
MN REGISTERED NURSE LICENSE
MN
Enumeration date
08/16/2007
Last updated
03/17/2016
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