Ganser, Brenda J

Ganser, Brenda J is an individual health care provider with primary practice located at 112 Quarry Rd Suite 220, Trumbull CT 06611-4816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ganser, Brenda J can be contacted via phone (203) 374-6162.

Contact Information

Primary practice address
112 Quarry Rd Suite 220 Trumbull CT 06611-4816
Phone: (203) 374-6162
Fax: (203) 374-1459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 002193 Connecticut

Profile Details

NPI number 1215983705
LBN Legal business name Ganser, Brenda J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 15th, 2014 - about 10 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 1215983705 NPPES
Connecticut MEDICAID 004223070

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