Clemens, Brenda K
Clemens, Brenda K is an individual health care provider with primary practice located at 1326 Malabar Rd Se Ste 3 , Palm Bay FL 32907-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clemens, Brenda K can be contacted via phone (321) 409-6100.Contact Information
Primary practice address
1326 Malabar Rd Se Ste 3
Palm Bay FL 32907-2502
Phone: (321) 409-6100
Fax: (321) 409-6063
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001942A | Indiana |
Profile Details
NPI number | 1740232230 |
---|---|
LBN Legal business name | Clemens, Brenda K |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 16th, 2006 |
Last updated | Nov 4th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740232230 | NPPES |
Florida | Other | IT764Z | MEDICARE |
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