Active NPIIndividual providerSole proprietor

Brenda Wong

Nurse Anesthetist, Certified Registered in Mount Holly, New Jersey

NPI Number1104675412
Practice location
175 Madison Ave Fl 1, Mount Holly, NJ 08060-2099
Fax
—
Last updated
October 29, 2024

Brenda Wong is a Nurse Anesthetist, Certified Registered based in Mount Holly, NJ. Brenda Wong practices in Mount Holly, NJ. The NPI Number for Brenda Wong is 1104675412 and holds a License No. 26NR22515300 (NJ). The current practice location address for Brenda Wong is 175 Madison Ave Fl 1, Mount Holly, NJ 08060-2099 and can be reached out via phone at 856-430-9427.

Provider Profile Details

NPI Number
1104675412
Provider Name
Brenda Wong
Provider Entity Type
Individual
Gender
Female
Address
175 Madison Ave Fl 1, Mount Holly, NJ 08060-2099
Phone Number
856-430-9427
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
Yes
Provider Enumeration Date
May 17, 2024
Last Update Date
October 29, 2024
Certification Date
October 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
175 Madison Ave Fl 1
Mount Holly, NJ 08060-2099
Zip
08060-2099
Phone Number
856-430-9427
Mount Holly, NJ 08060Get directions →

Provider Business Mailing Address Details

Address
1126 E Palmer St Unit 2
Philadelphia, PA 19125-4242
City
Philadelphia
State
PA
Zip
19125-4242
Phone Number
646-323-7963

License Information

License Number (2)
26NR22515300
License State (2)
NJ
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brenda Wong?

The NPI number of Brenda Wong is 1104675412. It was assigned on May 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Brenda Wong?

Brenda Wong is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NR22515300.

Where does Brenda Wong practice?

The practice location is 175 Madison Ave Fl 1, Mount Holly, NJ 08060-2099. The office can be reached at 856-430-9427 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104675412 directly on the NPPES registry website.

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