Provider Demographics
NPI:1346354743
Name:BRECHLER, BRENDA KAY (APRN)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:KAY
Last Name:BRECHLER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 PACER AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2119
Mailing Address - Country:US
Mailing Address - Phone:702-338-6969
Mailing Address - Fax:702-745-0628
Practice Address - Street 1:3651 LINDELL RD STE D439
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-1254
Practice Address - Country:US
Practice Address - Phone:702-338-6969
Practice Address - Fax:702-764-0628
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN25703363L00000X
NVAPRN00394363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV99-2756561Medicaid
NV002402134Medicaid