Provider Demographics
NPI:1295323061
Name:DUNCAN, BRETT AYERS (RN)
Entity type:Individual
Prefix:
First Name:BRETT
Middle Name:AYERS
Last Name:DUNCAN
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 1:2888 VIA CONQUISTADOR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-3017
Mailing Address - Country:US
Mailing Address - Phone:858-349-1294
Mailing Address - Fax:
Practice Address - Street 1:2888 VIA CONQUISTADOR
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-3017
Practice Address - Country:US
Practice Address - Phone:858-349-1294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA756439163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice