Provider Demographics
NPI:1598015331
Name:LINSELL, BRENDA CHRISTINE (RN RM)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:CHRISTINE
Last Name:LINSELL
Suffix:
Gender:F
Credentials:RN RM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 DEKALB AVE
Mailing Address - Street 2:APT 29E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5407
Mailing Address - Country:US
Mailing Address - Phone:212-281-6531
Mailing Address - Fax:
Practice Address - Street 1:156 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2609
Practice Address - Country:US
Practice Address - Phone:212-281-6531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22621670163W00000X
TX537430163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse