Witsaman, Brenda S.

Witsaman, Brenda S. is an individual health care provider with primary practice located at 4800 Ledgewood Dr , Medina OH 44256-7666. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Witsaman, Brenda S. can be contacted via phone (330) 723-9688.

Contact Information

Primary practice address
4800 Ledgewood Dr Medina OH 44256-7666
Phone: (330) 723-9688
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.022531 Ohio

Profile Details

NPI number 1811492424
LBN Legal business name Witsaman, Brenda S.
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated Jan 7th, 2021 - about 5 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 1811492424 NPPES
Ohio MEDICAID 0290998

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