Provider Demographics
NPI:1245006758
Name:PISONE, BRENDA S
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:S
Last Name:PISONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:S
Other - Last Name:PAINTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:271 SNOW HILL AVE
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-1707
Mailing Address - Country:US
Mailing Address - Phone:412-956-3970
Mailing Address - Fax:
Practice Address - Street 1:271 SNOW HILL AVE
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1707
Practice Address - Country:US
Practice Address - Phone:412-956-3970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver