Provider Demographics
NPI:1639333230
Name:CARNEY, BRENDA MARIE (FNP-C)
Entity Type:Individual
Prefix:MISS
First Name:BRENDA
Middle Name:MARIE
Last Name:CARNEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MILL ST
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-2652
Mailing Address - Country:US
Mailing Address - Phone:315-798-1260
Mailing Address - Fax:315-798-1263
Practice Address - Street 1:1 MILL ST
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-2652
Practice Address - Country:US
Practice Address - Phone:315-798-1260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-12
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335542363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily