| Doctor Name: | MS. BRENDA CAROL VANNO |
| NPI Number: | 1124381868 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 187790 |
| Business Practice Address: | 219 East St Albemarle, NC - 280013423 |
| Business Phone Number: | 7049838868 |
| Business Fax Number: | |
| Mailing Address: | 350 Pee Dee Ave, Suite A ALBEMARLE |
| State: | NC |
| Postal Code: | 280014932 |
| Phone Number: | 7046358940 |
| Fax Number: | |
| NPI Enumeration Date: | 06/18/2012 |
| NPI Last Update Date: | 06/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 187790 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |