Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 47384 | AZ |
N | 207RH0003X | Hematology & Oncology | ME135060 | FL |
N | 207RX0202X | Medical Oncology | 47384 | AZ |
N | 207RX0202X | Medical Oncology | ME135060 | FL |
NPI | 1134449416 |
---|---|
Provider Name | Brenda Ernst |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2010 |
Last Update Date | 08/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
851241 | (05) | AZ |