Provider Demographics
NPI:1295525475
Name:BRENAGH, CAREROSEBIA DENISE
Entity type:Individual
Prefix:
First Name:CAREROSEBIA
Middle Name:DENISE
Last Name:BRENAGH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 TRAIL RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68505-2714
Mailing Address - Country:US
Mailing Address - Phone:402-601-2755
Mailing Address - Fax:
Practice Address - Street 1:631 TRAIL RIDGE RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68505-2714
Practice Address - Country:US
Practice Address - Phone:402-601-2755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty