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NPI Code Detail

MEDICARE: BRENDEN JOSEPH D'ANDREA

MEDICARE: BRENDEN JOSEPH D'ANDREA
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1629807540
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDEN JOSEPH D'ANDREA
Provider Business Mailing Address
First Line : 7512 W SAND RIVER WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85743-1461
Country : US
Telephone Number : 520-336-7245
Fax Number :
Provider Business Practice Location Address
First Line : 2025 W ORANGE GROVE RD STE 2
Second Line :
City : TUCSON
State : AZ
Zip : 85704-1110
Country : US
Telephone Number : 520-584-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2024
Last Update Date : 07/30/2024

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Directions to “ BRENDEN JOSEPH D'ANDREA ” Practice Location

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