Shackelford, Brenna Mae

Shackelford, Brenna Mae is an individual health care provider with primary practice located at 745 W Moana Ln Ste 300 , Reno NV 89509-4980. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Shackelford, Brenna Mae can be contacted via phone (775) 327-5174.

Contact Information

Primary practice address
745 W Moana Ln Ste 300 Reno NV 89509-4980
Phone: (775) 327-5174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01067626A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD19340 Hawaii
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 23824 Nevada
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A133488 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M15461 Idaho
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1033377833
LBN Legal business name Shackelford, Brenna Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Jun 29th, 2023 - about 2 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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