Provider Demographics
NPI:1396072567
Name:MORALES NAVARRO, BRENDA ENID (RN ADN 6823 LIC)
Entity type:Individual
Prefix:MISS
First Name:BRENDA
Middle Name:ENID
Last Name:MORALES NAVARRO
Suffix:
Gender:F
Credentials:RN ADN 6823 LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:HACIENDAS DE CANOVANA C/MIRLO # 52
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729
Mailing Address - Country:US
Mailing Address - Phone:787-365-3208
Mailing Address - Fax:
Practice Address - Street 1:HACIENDA TECANOVANA CALLE MIRLO # 52
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-365-3208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6823163W00000X
PR6823A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse