Elder, Brenda
Elder, Brenda is an individual health care provider with primary practice located at 1001 So. 41St St. East , Muskogee OK 74403-1404. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Elder, Brenda can be contacted via phone (918) 687-0201.Contact Information
Primary practice address
1001 So. 41St St. East
Muskogee OK 74403-1404
Phone: (918) 687-0201
Fax: (918) 687-0665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | R0051899 | Oklahoma |
Profile Details
| NPI number | 1558358655 |
|---|---|
| LBN Legal business name | Elder, Brenda |
| Credentials | A.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 3rd, 2008 - about 16 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 | 1558358655 | NPPES |
| Oklahoma | MEDICAID | 1751899 |
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