BRENDA AGATHA WYLLIE
NPI 1770157976
Registered Nurse - Gerontology in Brooklyn, NY
Active since May 13, 2021
About Brenda Agatha Wyllie NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDA AGATHA WYLLIE (NPI 1770157976) is an individual gerontology provider in Brooklyn, New York, licensed in New York (444793) and active in the NPI registry since May 2021.
NPPES Registry Identity
NPI1770157976
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameBRENDA AGATHA WYLLIE
Location Address1516 ORIENTAL BLVDBrooklyn, NY 11235-2328
Mailing Address1516 Oriental BlvdBrooklyn, NY 11235-2328 · (718) 368-7708
Phone(718) 646-4441
Sole ProprietorNo
Enumeration DateMay 13, 2021
NPPES CertifiedMay 13, 2021
✔ NPI 1770157976 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License✔ Licensed in NY · 444793
1516 ORIENTAL BLVD, Brooklyn, NY 11235
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Physical Medicine & Rehabilitation (Pain Medicine)
1516 ORIENTAL BLVD
BROOKLYN, NY 11235
BROOKLYN, NY 11235
Clinic/Center (Adult Day Care)
1516 ORIENTAL BLVD
BROOKLYN, NY 11235
BROOKLYN, NY 11235
Social Worker (Clinical)
1516 ORIENTAL BLVD, 4TH FLOOR IPU
BROOKLYN, NY 11235
BROOKLYN, NY 11235
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770157976, enumerated as an "individual" on May 13, 2021.
The provider is located at 1516 ORIENTAL BLVD BROOKLYN, NY 11235 and the phone number is (718) 646-4441.
Registered Nurse with taxonomy code 163WG0600X and a focus in Gerontology.
