Doctor Name: | MRS. MARY BETH BRENDEL |
NPI Number: | 1114225794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 551330 |
Business Practice Address: | 953 High St Victor, NY - 145641168 |
Business Phone Number: | 5859243252 |
Business Fax Number: | 5857427027 |
Mailing Address: | 953 High St, VICTOR |
State: | NY |
Postal Code: | 145641168 |
Phone Number: | 5859243252 |
Fax Number: | 5857427027 |
NPI Enumeration Date: | 03/07/2011 |
NPI Last Update Date: | 03/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 551330 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |