| Doctor Name: | MRS. THALIA JEANNE BRENT |
| NPI Number: | 1598735300 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN,ARNP-BC |
| License Number: | 105961 |
| Business Practice Address: | 1 Minni Tohe Dr New Town, ND - 587634400 |
| Business Phone Number: | 8004653203 |
| Business Fax Number: | |
| Mailing Address: | Po Box 56967, NORTH POLE |
| State: | AK |
| Postal Code: | 997051967 |
| Phone Number: | 9173639387 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2006 |
| NPI Last Update Date: | 11/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 105961 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |