Doctor Name: | MRS. BRENDA JOYCE WILSON |
NPI Number: | 1750793485 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | STNA |
License Number: | 401618880314 |
Business Practice Address: | 791 E 156th St Cleveland, OH - 441103069 |
Business Phone Number: | 2168510415 |
Business Fax Number: | 2168510415 |
Mailing Address: | 791 E 156th St, CLEVELAND |
State: | OH |
Postal Code: | 441103069 |
Phone Number: | 2168510415 |
Fax Number: | 2168510415 |
NPI Enumeration Date: | 05/29/2014 |
NPI Last Update Date: | 05/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | 401618880314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |