Provider Demographics
NPI:1174323018
Name:CHALEMBA, BRENDA (CNA)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:CHALEMBA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 FRONT ST S
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-4209
Mailing Address - Country:US
Mailing Address - Phone:425-666-8707
Mailing Address - Fax:253-214-8877
Practice Address - Street 1:470 FRONT ST S
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-4209
Practice Address - Country:US
Practice Address - Phone:425-666-8707
Practice Address - Fax:253-214-8877
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide