Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. BRENDA DEIDRICK
ActiveMS. BRENDA DEIDRICK is a 2251H1200X healthcare provider located in ROSEVILLE, California. NPI 1871667022 is currently active in the NPPES registry. Verify at CMS.
2251H1200X · ROSEVILLE, CA
Registration Details
- NPI Number
- 1871667022
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 20, 2006 (19.756654360524 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT10142 (CA)
Practice Information
- Address
-
1600 EUREKA RDROSEVILLE, CA, 956613027Browse CA providers · Browse ZIP 95661
- Phone
- 9167845444
- Primary Specialty
-
2251H1200X
2251H1200X
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.