Brenna Ann Sanislo
Physician Assistant in Fruita, CO. Individual provider (NPI-1).
NPI number1245843085
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1245843085
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Brenna Ann Sanislo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2020
- Certification date
- Sep 11, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
300 W Ottley AveFruita, CO 81521-2118
Phone 970-858-2705
Mailing address
3230 Beechwood StGrand Junction, CO 81506-4833
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All 13 Physician Assistant providers in Fruita · All 288 providers in Fruita
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