person
Ms. Brenda Lane, NP
Family Nurse Practitioner in Ithaca, New York
NPI 1417910209

Brenda Lane is a Family Nurse Practitioner based in Ithaca, NY and is specialized in Family. Brenda Lane practices in Ithaca, NY and has the professional credentials of NP. The NPI Number for Brenda Lane is 1417910209 and holds a License No. 332286 (New York).

The current practice location address for Brenda Lane is 2359 N Triphammer Rd, Ithaca, NY and can be reached out via phone at 607-257-1705 and via fax at 607-257-3163.

Location: 2359 N Triphammer Rd, Ithaca, NY, 14850-1871
person
Provider Profile Details
NPI Number
1417910209
Provider Name
Brenda Lane
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2359 N Triphammer Rd, Ithaca, NY, 14850-1871
Phone Number
607-257-1705
Fax Number
607-257-3163
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02393520 05 NY
BB7606 01 MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
2359 N Triphammer Rd
City
State
Zip
14850-1059
Phone Number
607-257-1705
Fax Number
607-257-3163
person
Provider Business Mailing Address Details
Address
2359 N Triphammer Rd
City
State
Zip
14850-1059
Phone Number
607-257-1705
Fax Number
607-257-3163
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
332286 (New York)
Definition
Definition to come...
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