Provider Demographics
NPI:1689818643
Name:ESLINGER, BRENDA KAY (RN, CCEMT-P)
Entity Type:Individual
Prefix:MS
First Name:BRENDA
Middle Name:KAY
Last Name:ESLINGER
Suffix:
Gender:F
Credentials:RN, CCEMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:3364 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-4040
Mailing Address - Country:US
Mailing Address - Phone:636-461-2025
Mailing Address - Fax:
Practice Address - Street 1:6150 OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-3215
Practice Address - Country:US
Practice Address - Phone:314-768-3019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOP11161146L00000X
MO2008026271282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic