Individual provider · NPI-1
Brenda Dill, RN
Registered Nurse, General Practice · Gardner, MA
NPI number1376222539
StatusActive
Last updated in NPPESJul 14, 2023
Details
- NPI
- 1376222539
- Entity type
- Individual (NPI-1)
- Name
- Brenda Dill
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2023
- Certification date
- Jul 11, 2023
- Last updated
- Jul 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN28270 | MA | Yes |
Practice location
529 Timpany BoulevardGardner, MA 01440
Phone 978-410-6100
Mailing address
529 Timpany BoulevardGardner, MA 01440
Phone 978-410-6100
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