Basic Information
Provider Information
NPI: 1770220741
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRENDLE
FirstName: ERIN
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: NP
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Mailing Information
Address1: 9005 TOWNSHIP ROAD 108
Address2:  
City: NEW RIEGEL
State: OH
PostalCode: 448539726
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1900 S MAIN ST
Address2:  
City: FINDLAY
State: OH
PostalCode: 458401214
CountryCode: US
TelephoneNumber: 4194234500
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/19/2022
LastUpdateDate: 05/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 05/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VG0400XAPRN.CNP.0031183OHN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
363L00000XAPRN.CNP.0031183OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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