Individual
CATHERINE M. BRICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 W FARIS RD, GREENVILLE, SC 29605-4255
(864) 455-7070
(864) 454-4669
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1695
SC
363LG0600X
Gerontology Nurse Practitioner
66849
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0979
—
SC
05
—
T28262
—
SC
Enumeration date
02/08/2006
Last updated
06/07/2021
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