| NPI | 1194034553 |
|---|---|
| Former Name | BRENNON E GILES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.11807) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 11807) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2023-03-27 |