Provider Demographics
NPI:1780891572
Name:BRENDEL, DEBRA HEMMING (MSN, RN, APN)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:HEMMING
Last Name:BRENDEL
Suffix:
Gender:F
Credentials:MSN, RN, APN
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:GAIL
Other - Last Name:HEMMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, APN
Mailing Address - Street 1:59 GARWOOD CT N
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-3505
Mailing Address - Country:US
Mailing Address - Phone:973-546-2062
Mailing Address - Fax:
Practice Address - Street 1:150 BERGEN ST
Practice Address - Street 2:F-146
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2496
Practice Address - Country:US
Practice Address - Phone:973-972-5859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN07313500163WN0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0003XNursing Service ProvidersRegistered NurseNeonatal, Low-Risk