Brender, Timothy Peter

Brender, Timothy Peter is an individual health care provider with primary practice located at 480 Central Ave Bldg 1750 , Jbphh HI 96860-4908. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Brender, Timothy Peter can be contacted via phone (808) 471-5171.

Contact Information

Primary practice address
480 Central Ave Bldg 1750 Jbphh HI 96860-4908
Phone: (808) 471-5171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN572397 California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 18189 California

Profile Details

NPI number 1740443746
LBN Legal business name Brender, Timothy Peter
Credentials PPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Nov 1st, 2022 - about 3 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 1740443746 NPPES
California Other 572394 REGISTERED NURSE LICENSE
California Other 18189 REGISTERED NURSE LICENSE

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