MEDICARE: PRINEEKA BRAZZEL

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	374U00000X	Home Health Aide
2	385H00000X	Respite Care		OH

General Provider Information

NPI Number	:	1851166870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRINEEKA BRAZZEL

Provider Business Mailing Address
First Line	:	2624 SHERBROOKE RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3741
Country	:	US
Telephone Number	:	419-574-2340
Fax Number	:

Provider Business Practice Location Address
First Line	:	2624 SHERBROOKE RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3741
Country	:	US
Telephone Number	:	419-574-2340
Fax Number	:

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

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	12/08/2025

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Directions to “ PRINEEKA BRAZZEL ” Practice Location

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