Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDA K STICKLEY
Active Sole ProprietorBRENDA K STICKLEY is a Preferred Provider Organization healthcare provider located in WAUSEON, Ohio. NPI 1114520046 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · WAUSEON, OH
Registration Details
- NPI Number
- 1114520046
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 22, 2020 (5.7519283815678 yrs)
- Last Updated
- Nov 22, 2020
- License
-
2695463 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
610 E CHESTNUT STWAUSEON, OH, 435671463Browse OH providers · Browse ZIP 43567
- Phone
- 4193579292
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.