Doctor Name: | BRENDA MARIE EDEN |
NPI Number: | 1366676835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 209006509 |
Business Practice Address: | 1800 E Lake Shore Dr Decatur, IL - 625213810 |
Business Phone Number: | 2174226100 |
Business Fax Number: | 2174223217 |
Mailing Address: | 1800 E Lake Shore Dr, DECATUR |
State: | IL |
Postal Code: | 625213810 |
Phone Number: | 2174226100 |
Fax Number: | 2174223217 |
NPI Enumeration Date: | 05/12/2009 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364S00000X |
License Number: | 209006509 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |