Provider Demographics
NPI:1922503978
Name:SOLOE, BRENDA L (CRNP)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:L
Last Name:SOLOE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 KURT DR
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-9190
Mailing Address - Country:US
Mailing Address - Phone:610-704-5833
Mailing Address - Fax:
Practice Address - Street 1:204 KURT DR
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-9190
Practice Address - Country:US
Practice Address - Phone:610-365-8338
Practice Address - Fax:610-365-8336
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018726363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health