MRS. BRENDA ANN HUSEMANN


Address: 18491 W Michelle Ct, East Dubuque, IL 61025-9403
Phone: 5632131576

MRS. BRENDA ANN HUSEMANN (NPI# 1215320940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215320940
Entity Type Individual
Full Name MRS. BRENDA ANN HUSEMANN
Other Name BRENDA ANN HAMMEL
Credential FNP-BC
Practice Address 18491 W Michelle Ct
East Dubuque
IL 61025-9403
Practice Telephone 5632131576
Mailing Telephone 5632131576
Enumeration Date 2015-03-05
Last Update Date 2015-03-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
A107305 IA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 18491 W MICHELLE CT
City EAST DUBUQUE
State IL
Zip Code 61025-9403

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City EAST DUBUQUE
Zip Code 61025

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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