Individual
RENEE E BRASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6730 KACI LN, INDIAN LAND, SC 29707-3201
(724) 510-9620
Mailing address
6730 KACI LN, INDIAN LAND, SC 29707-3201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN99971
SC
163WE0003X
Emergency Registered Nurse
Primary
RN99971
SC
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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