Mickens, Brenda

Mickens, Brenda is an sole proprietor health care provider with primary practice located at 420 Verazzano Ave , Copiague NY 11726-1713. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Mickens, Brenda can be contacted via phone (631) 767-9090.

Contact Information

Primary practice address
420 Verazzano Ave Copiague NY 11726-1713
Phone: (631) 767-9090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 225231 New York
Nursing Service Providers / Registered Nurse 163W00000X 655015 New York

Profile Details

NPI number 1881919116
LBN Legal business name Mickens, Brenda
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2010
Last updated Jun 11th, 2012 - 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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