Brenna Fox Pmhnp-Bc, LLC
Nurse Practitioner, Psych/Mental Health in Williamsville, NY. Organization (NPI-2).
NPI number1164056305
StatusActive
Last updated in NPPESFeb 26, 2020
Details
- NPI
- 1164056305
- Entity type
- Organization (NPI-2)
- Legal business name
- Brenna Fox Pmhnp-Bc, LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2020
- Certification date
- Feb 26, 2020
- Last updated
- Feb 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
21 Linwood AveWilliamsville, NY 14221-6501
Phone 716-626-9016
Mailing address
15 Briarwood LnGrand Island, NY 14072-1972
Phone 716-626-9016 · Fax 716-626-4271
Authorized official
Brenna E Fox
Owner
7165458161
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