MEDICARE: BRENDA KAY BRECHLER APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	RN25703	NV
2	363LF0000X	Family Nurse Practitioner	APRN00394	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346354743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA KAY BRECHLER APRN

Provider Business Mailing Address
First Line	:	4601 PACER AVE
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-2119
Country	:	US
Telephone Number	:	702-338-6969
Fax Number	:	702-745-0628

Provider Business Practice Location Address
First Line	:	3651 LINDELL RD STE D439
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1254
Country	:	US
Telephone Number	:	702-338-6969
Fax Number	:	702-764-0628

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	05/28/2024

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