Anderson, Brenda Renee

Anderson, Brenda Renee is an individual health care provider with primary practice located at 13501 Ne 28Th St , Vancouver WA 98682-8091. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty.

Contact Information

Primary practice address
13501 Ne 28Th St Vancouver WA 98682-8091
Phone:
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP00047611 Washington

Profile Details

NPI number 1316408875
LBN Legal business name Anderson, Brenda Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2019
Last updated Mar 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316408875 NPPES
Washington MEDICAID 1245311141

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