Cormier, Brenda K.

Cormier, Brenda K. is an individual health care provider with primary practice located at 2202 Harlem Rd , Loves Park IL 61111-2754. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Cormier, Brenda K. can be contacted via phone (815) 877-4848.

Contact Information

Primary practice address
2202 Harlem Rd Loves Park IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 636-6125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041257886 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209002580 Illinois

Profile Details

NPI number 1538273370
LBN Legal business name Cormier, Brenda K.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jul 21st, 2022 - about 2 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 1538273370 NPPES
Other 430074177 RAILROAD MEDICARE

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