Mrs Brenda Jean Mcdonnell, AGPCNP-BC | |
204 Cimmarron Vista Ct, Runaway Bay, TX 76426-9726 | |
(412) 908-3884 | |
Not Available |
Full Name | Mrs Brenda Jean Mcdonnell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 204 Cimmarron Vista Ct, Runaway Bay, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588331771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1022615 (Texas) | Primary |
Entity Name | Texas Health Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
Entity Name | Eden Rejuvenation Center For Wellbeing Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023602588 PECOS PAC ID: 9234547563 Enrollment ID: O20210426001489 |
Entity Name | Bristol Advanced Illness Management - North Central Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881347524 PECOS PAC ID: 7719374289 Enrollment ID: O20220502001313 |
Entity Name | Star Solace Medical Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437856325 PECOS PAC ID: 8527431220 Enrollment ID: O20230228001425 |
Mailing Address | Practice Location Address |
---|---|
Mrs Brenda Jean Mcdonnell, AGPCNP-BC 204 Cimmarron Vista Ct, Runaway Bay, TX 76426-9726 Ph: (412) 908-3884 | Mrs Brenda Jean Mcdonnell, AGPCNP-BC 204 Cimmarron Vista Ct, Runaway Bay, TX 76426-9726 Ph: (412) 908-3884 |