Individual provider · NPI-1

Brenda R Annotti, F.N.P.

Registered Nurse, Gerontology · Portland, OR

NPI number1255335295
StatusActive
Last updated in NPPESJul 16, 2018

Details

NPI
1255335295
Entity type
Individual (NPI-1)
Name
Brenda R Annotti
Credential
F.N.P.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2005
Last updated
Jul 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0600X Registered Nurse, Gerontology091006966NIORYes

Practice location

3550 N Interstate Ave
Portland, OR 97227

Phone 503-331-6440 · Fax 503-331-6445

Mailing address

3550 N Interstate Ave
Portland, OR 97227-1196

Phone 503-331-6440 · Fax 503-331-6445

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