Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYDIA CHARDEL BRUENJES, PA
ActiveLYDIA CHARDEL BRUENJES, PA is a Physician Assistant healthcare provider located in FARGO, North Dakota. NPI 1720566847 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FARGO, ND
Registration Details
- NPI Number
- 1720566847
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 31, 2018 (7.998163363831 yrs)
- Last Updated
- Mar 21, 2022
- Licenses
-
5601008509 (MI)13972 (MN)PAC0931 (ND)
Practice Information
- Address
-
4110 51ST AVE SFARGO, ND, 581047776Browse ND providers · Browse ZIP 58104
- Phone
- 0173643100
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| JAY R METZGER | PA | 1437153905 |
| KARLA MAY HENNEQUIN | PAC | 1841274248 |
| MR. ERIC L HARRY | PAC | 1861478745 |
| MR. JAMES ALAN BERGLUND | PA-C | 1194784918 |
| DAWN L DEAL-DAHLE | PA-C | 1518922475 |
| BARBARA J HAMPLE | PA-C | 1497706725 |
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.