Individual
BRENDA J FUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1302 FRANKLIN AVE, SUITE 1100, NORMAL, IL 61761-3551
(309) 827-4321
Mailing address
1300 FRANKLIN AVE, NORMAL, IL 61761-3592
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041-330965
IL
363LF0000X
Family Nurse Practitioner
209006798
IL
Other
Enumeration date
10/03/2007
Last updated
04/18/2013
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