Provider Demographics
NPI:1497184527
Name:MUNSEY, BRENDA
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:MUNSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43148-7706
Mailing Address - Country:US
Mailing Address - Phone:740-438-7515
Mailing Address - Fax:
Practice Address - Street 1:121 2ND ST
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:OH
Practice Address - Zip Code:43148-7706
Practice Address - Country:US
Practice Address - Phone:740-438-7515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant