Healthcare Provider Details

I. General information

NPI: 1437078508
Provider Name (Legal Business Name): BRENNA HORVATH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 CARRICK DR STE 220
MEDINA OH
44256-5393
US

IV. Provider business mailing address

281 WINDHAM CT
BROADVIEW HEIGHTS OH
44147-4207
US

V. Phone/Fax

Practice location:
  • Phone: 330-723-7005
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0042891
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: