Provider Demographics
NPI:1811655582
Name:DION, BRENDA G (RN)
Entity type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:G
Last Name:DION
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 RAUHOF RD
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:TN
Mailing Address - Zip Code:37690-2515
Mailing Address - Country:US
Mailing Address - Phone:423-747-0756
Mailing Address - Fax:
Practice Address - Street 1:207 RAUHOF RD
Practice Address - Street 2:
Practice Address - City:TELFORD
Practice Address - State:TN
Practice Address - Zip Code:37690-2515
Practice Address - Country:US
Practice Address - Phone:423-747-0756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000198644163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse