Provider Demographics
NPI:1295191328
Name:HONES, BRENNA (MSN,RN,CPNP)
Entity Type:Individual
Prefix:
First Name:BRENNA
Middle Name:
Last Name:HONES
Suffix:
Gender:F
Credentials:MSN,RN,CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SPRUCE STREET
Mailing Address - Street 2:2ND FLOOR CATHCART
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107
Mailing Address - Country:US
Mailing Address - Phone:215-829-3301
Mailing Address - Fax:215-829-7123
Practice Address - Street 1:800 SPRUCE STREET
Practice Address - Street 2:2ND FLOOR CATHCART
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-829-3301
Practice Address - Fax:215-829-7123
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP015576363LP0200X
NJ26NJ00616900363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics