Individual
BRENDA S. WITSAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4800 LEDGEWOOD DR, MEDINA, OH 44256-7666
(330) 723-9688
Mailing address
UNIVERSITY OF AKRON, STUDENT HEALTH SERVICES, 382 CARROLL ST., SUITE 260, AKRON, OH 44325-0020
(330) 972-7808
(330) 972-8849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022531
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290998
—
OH
Enumeration date
03/26/2018
Last updated
01/07/2021
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