Brenda L Leverenz in Port Huron - Physician Assistant

Brenda L Leverenz - NPI 1437125408

Brenda L Leverenz is a Physician Assistant in Port Huron, Michigan. Brenda L Leverenz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brenda L Leverenz is 1437125408. The last update date is 2012-08-15.

Brenda L Leverenz's current location address is 1217 Kearney St, Port Huron, Michigan. You can contact this provider via phone number 8109822095 and fax number 8109828513. The mailing address for Brenda L Leverenz is 1217 Kearney St, Port Huron, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda L Leverenz
Address 1217 Kearney St, Port Huron, Michigan
Phone Number 8109822095
Fax Number 8109828513
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1437125408
Provider Enumeration Date 2006-02-28
Last Updated Date 2012-08-15

Provider Mailing Address Detail

Address 1217 Kearney St
City Port Huron
State Michigan (MI)
Post Code 480603571
Phone Number 8109822095
Fax Number 8109828513

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 5601003344
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00221152 PALMETTO RAILROAD MEDICARE

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FAQs about Brenda L Leverenz

Could you provide the complete address where Brenda L Leverenz is physically located?

The Brenda L Leverenz is situated at the following address: 1217 Kearney St, Port Huron, MI 480603571.

What is Brenda L Leverenz's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Brenda L Leverenz is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.

On what date was the 1437125408 assigned to Brenda L Leverenz?

The Brenda L Leverenz was issued its 1437125408 on 2006-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Brenda L Leverenz most recently updated?

The details pertaining to the Brenda L Leverenz, including its address, specialty, and other relevant information, were last refreshed on 2012-08-15.

As of what date was the information pertaining to Brenda L Leverenz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Brenda L Leverenz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-08-15.

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