Brenda K Ames, CNP
Individual provider Active NPI Nurse Practitioner · Newark, OH
NPI 1689765000 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689765000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- NP04035 (OH)
- Practice address
- 1930 Tamarack Rd
Newark, OH 43055-2303 - Phone
- (740) 522-7600
- Fax
- (740) 522-6399
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP04035 | OH | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP04035 | OH | Yes |
Addresses
Primary practice location
1930 Tamarack Rd
Newark, OH 43055-2303
Mailing address
1930 Tamarack Rd
Newark, OH 43055-2303
Phone (740) 522-7600
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.