| Mrs Brenda Jean Mcdonnell, AGPCNP-BC | |
| 204 Cimmarron Vista Ct, Runaway Bay, TX 76426-9726 | |
| (412) 908-3884 | |
| Not Available | 
| Full Name | Mrs Brenda Jean Mcdonnell | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 204 Cimmarron Vista Ct, Runaway Bay, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588331771 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1022615 (Texas) | Primary | 
| Entity Name | Texas Health Physicians Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 | 
| Entity Name | Christine Holland, M.d., P. A. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962677740 PECOS PAC ID: 3779658190 Enrollment ID: O20080820000275 | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 | 
| Entity Name | Eden Rejuvenation Center For Wellbeing Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023602588 PECOS PAC ID: 9234547563 Enrollment ID: O20210426001489 | 
| Entity Name | Bristol Advanced Illness Management - North Central Texas Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1881347524 PECOS PAC ID: 7719374289 Enrollment ID: O20220502001313 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Brenda Jean Mcdonnell, AGPCNP-BC 204 Cimmarron Vista Ct, Runaway Bay, TX 76426-9726 Ph: (412) 908-3884 | Mrs Brenda Jean Mcdonnell, AGPCNP-BC 204 Cimmarron Vista Ct, Runaway Bay, TX 76426-9726 Ph: (412) 908-3884 |