Freeman, Brenda Joyce

Freeman, Brenda Joyce is an individual health care provider with primary practice located at 13152 Newport Ave , Tustin CA 92780-3469. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Freeman, Brenda Joyce can be contacted via phone (714) 442-4864.

Contact Information

Primary practice address
13152 Newport Ave Tustin CA 92780-3469
Phone: (714) 442-4864
Fax: (714) 442-4892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 66963 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1283 California

Profile Details

NPI number 1003862145
LBN Legal business name Freeman, Brenda Joyce
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Sep 10th, 2013 - about 12 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 1003862145 NPPES
Illinois MEDICAID BJCNM1983

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