Individual
BRENDA JOYCE ARDREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
260 OSBORNE HILL RD, FISHKILL, NY 12524-2519
(845) 440-3940
Mailing address
260 OSBORNE HILL RD, FISHKILL, NY 12524-2519
(845) 440-3940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
443900-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01457478
MEDICAID PROVIDER ID
NY
Enumeration date
12/15/2006
Last updated
07/08/2007
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