1750953477 NPI number — BRYN LOU BRENDAMOUR MSN, APN, FNP-C

Table of content: BRYN LOU BRENDAMOUR MSN, APN, FNP-C (NPI 1750953477)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750953477 NPI number — BRYN LOU BRENDAMOUR MSN, APN, FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRENDAMOUR
Provider First Name:
BRYN
Provider Middle Name:
LOU
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN, APN, FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750953477
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
747 S GALENA ST UNIT 440
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASPEN
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81611-1872
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-314-4868
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
123 EMMA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BASALT
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81621-9169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-945-2840
Provider Business Practice Location Address Fax Number:
970-945-2893
Provider Enumeration Date:
07/13/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APN.0996610-NP , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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