Clemens, Brenda K

Clemens, Brenda K is an individual health care provider with primary practice located at 1326 Malabar Rd Se Ste 3 , Palm Bay FL 32907-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Clemens, Brenda K can be contacted via phone (321) 409-6100.

Contact Information

Primary practice address
1326 Malabar Rd Se Ste 3 Palm Bay FL 32907-2502
Phone: (321) 409-6100
Fax: (321) 409-6063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001942A Indiana

Profile Details

NPI number 1740232230
LBN Legal business name Clemens, Brenda K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 4th, 2017 - about 9 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 1740232230 NPPES
Florida Other IT764Z MEDICARE

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