Individual ProviderBrenda B BlueNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2150 Pennsylvania Ave NW, Washington, DC 20037-3201(202) 223-8453PECOS EnrollmentBased on the most recent information from CMS, provider Brenda B Blue does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1770602583Provider TypeIndividualFull NameBlue, Brenda BTitleMs.CredentialFNPGenderFemaleSole ProprietorNoEnumeration Date3/29/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2150 Pennsylvania Ave NW, Washington, DC 20037-3201Phone(202) 223-8453Fax(202) 223-9789Mailing LocationMailing Address1218 Merchant Ln, Mclean, VA 22101-2411Phone(202) 223-8453Fax(202) 223-9789Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN64003District of Columbia