Brenda Sue Ennis RN

NPI 1043409550 - Registered Nurse - 163W00000X

NPI Details
NPI 1043409550
Gender Female
Enumeration Date 10/20/2007
Last Updated 10/20/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
GALLUP NM, 87301-5748, US
Phone (505) 722-1000
Fax (505) 722-1310
Business Location
PO BOX 1337
GALLUP NM, 87305-1337, US
Phone (505) 722-1000
Fax (505) 722-1310
Taxonomy Code 163W00000X
License State Wyoming
License Number 14096
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According to our database, Brenda Sue Ennis RN NPI is 1043409550, taxonomy code is 163W00000X and license number is 14096, license state is located at Wyoming. Brenda Sue Ennis RN physically located at 516 Nizhoni Blvd, Gallup NM, 87301-5748. NPI Number Brenda Sue Ennis RN has the Individual type.

1043409550 NPI number is provided on an as is basis without warranty of any kind. 1043409550 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Sue Ennis RN are for informational purposes only.