Individual provider · Type 1 NPI

Brenda J. Life, CNP

Adult Health Nurse Practitioner · Elyria, OH

NPI number 1073583480 Active

Practice location

125 E Broad St, Suite 305
Elyria, OH 44035-6400

Fax (440) 322-3454

Mailing address

1220 Moore Rd, Suite B
Avon, OH 44011-4044

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNP-00697 (OH)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1073583480

Brenda J. Life, CNP's National Provider Identifier is 1073583480, issued on Jan 26, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Elyria, OH. The record was last updated on Apr 7, 2011.