Individual
BRENDA PRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4960 LAKEVILLE RD, GENESEO, NY 14454-9709
(607) 377-9723
Mailing address
4960 LAKEVILLE RD, GENESEO, NY 14454-9709
(607) 377-9723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
677617
NY
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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