Individual
MS. BRENDA J DIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4086 PRINCETON BLVD, SOUTH EUCLID, OH 44121-2344
(216) 820-7638
(216) 291-0682
Mailing address
4086 PRINCETON BLVD, SOUTH EUCLID, OH 44121-2344
(216) 820-7638
(216) 291-0682
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
190505
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
190505
OH
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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