Henney, Brenda S

Henney, Brenda S is an individual health care provider with primary practice located at 3931 Louisiana Ave S , St Louis Park MN 55426-5000. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Henney, Brenda S can be contacted via phone (952) 993-3123.

Contact Information

Primary practice address
3931 Louisiana Ave S St Louis Park MN 55426-5000
Phone: (952) 993-3123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9389 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9389 Minnesota

Profile Details

NPI number 1710907068
LBN Legal business name Henney, Brenda S
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 9th, 2021 - about 4 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 1710907068 NPPES
Minnesota Other 290006887 RAILROAD MEDICARE

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