Provider Demographics
NPI:1679870414
Name:MERENESS, BRYNN M (RN)
Entity Type:Individual
Prefix:
First Name:BRYNN
Middle Name:M
Last Name:MERENESS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:
Mailing Address - City:STILWELL
Mailing Address - State:KS
Mailing Address - Zip Code:66085-0435
Mailing Address - Country:US
Mailing Address - Phone:713-344-2400
Mailing Address - Fax:713-344-9420
Practice Address - Street 1:4400 S WASHINGTON ST
Practice Address - Street 2:STE 107
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79110-2052
Practice Address - Country:US
Practice Address - Phone:713-344-2400
Practice Address - Fax:713-344-9420
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX729964163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse