Renee Ann Brand, RN

Individual provider Active NPI Registered Nurse · East Patchogue, NY

NPI 1376979559 · NPPES record last updated Sep 19, 2013

Key facts

NPI
1376979559
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
605073-1 (NY)
Practice address
28 George St
East Patchogue, NY 11772-6205
Phone
(631) 363-5915
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
605073-1NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 605073-1 NY Yes

Addresses

Primary practice location

28 George St
East Patchogue, NY 11772-6205

Mailing address

28 George St
East Patchogue, NY 11772-6205
Phone (631) 363-5915

Other providers in East Patchogue, NY

All providers in East Patchogue, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.