Brenda Jean Clanton, LPN is a
Licensed Practical Nurse based in Niles, Michigan. Brenda Jean Clanton is licensed to practice in Indiana (license number 27020391A) and her current practice location is
1324 Hickory St, Niles, Michigan. She can be reached at her office (for appointments etc.) via phone at
(269) 687-9279.
NPI number for Brenda Jean Clanton is 1710954763 and her current mailing address is 1324 Hickory St, Niles, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710954763.
Provider's Profile
Full Name | Brenda Jean Clanton |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 1324 Hickory St, Niles, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710954763
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Brenda Jean Clanton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710954763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 27020391A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brenda Jean Clanton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brenda Jean Clanton, LPN 1324 Hickory St, Niles, MI 49120-3620 Ph: (269) 687-9279 | Brenda Jean Clanton, LPN 1324 Hickory St, Niles, MI 49120-3620 Ph: (269) 687-9279 |
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