National Provider Identifier
Brenda Lane, NP
Brenda Lane, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 257-1705.
Profile Overview
- NPI
- 1417910209
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- April 11, 2006
- Last Updated
- April 10, 2019
Practice Location
- 2359 N Triphammer RD
- Ithaca, NY 14850-1059
Phone: (607) 257-1705
Mailing Address
- 8 Brentwood Dr Ste A
- Ithaca, NY 14850-1871
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1417910209
- Entity Type
- Individual
- Last Name
- Lane
- First Name
- Brenda
- Name Prefix
- MS.
- Credential
- NP
- Mailing Street Address
- 8 Brentwood Dr Ste A
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1871
- Mailing Country
- US
- Mailing Phone
- (607) 257-2116
- Practice Street Address
- 2359 N Triphammer RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1059
- Practice Country
- US
- Practice Phone
- (607) 257-1705
- Practice Fax
- (607) 257-3163
- Enumeration Date
- April 11, 2006
- Last Updated
- April 10, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 02393520 (NY), BB7606 (Medicare Id)