Provider Demographics
NPI:1730500414
Name:BRENDAN WRYNN
Entity Type:Organization
Organization Name:BRENDAN WRYNN
Other - Org Name:NO PILL PAIN SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CRNA
Authorized Official - Prefix:
Authorized Official - First Name:BRENDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-230-0966
Mailing Address - Street 1:PO BOX 41
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47308-0041
Mailing Address - Country:US
Mailing Address - Phone:765-284-0493
Mailing Address - Fax:765-284-2434
Practice Address - Street 1:6540 LOGAN DR
Practice Address - Street 2:SUITE 3
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-8238
Practice Address - Country:US
Practice Address - Phone:812-402-3937
Practice Address - Fax:765-284-2434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty