Provider Demographics
NPI:1043621121
Name:NARDOZZI, BRENDA DENISE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:DENISE
Last Name:NARDOZZI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 LIMESTONE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1258
Mailing Address - Country:US
Mailing Address - Phone:302-234-9109
Mailing Address - Fax:302-234-9042
Practice Address - Street 1:5311 LIMESTONE RD STE 201
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-1258
Practice Address - Country:US
Practice Address - Phone:302-234-9109
Practice Address - Fax:302-234-9042
Is Sole Proprietor?:No
Enumeration Date:2014-05-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000747363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner