Doctor Name: | MRS. BRENDA LYNN MCGUANE |
NPI Number: | 1447575741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED NURSE |
License Number: | 551811 |
Business Practice Address: | 12 North Park St. Seneca Falls, NY - 13148 |
Business Phone Number: | 3155689412 |
Business Fax Number: | 3155686718 |
Mailing Address: | 7549 Potter Rd, INTERLAKEN |
State: | NY |
Postal Code: | 148479665 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/30/2010 |
NPI Last Update Date: | 03/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 551811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |