| Doctor Name: | MRS. JANICE M BRENNAN |
| NPI Number: | 1003000860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 012872-23-03 |
| Business Practice Address: | 1 Medical Center Dr Dhmc Department Of Occupation Medicine Lebanon, NH - 037561000 |
| Business Phone Number: | 6035605000 |
| Business Fax Number: | 6036500787 |
| Mailing Address: | 1 Medical Center Dr, Dhmc Department Of Occupation Medicine LEBANON |
| State: | NH |
| Postal Code: | 037561000 |
| Phone Number: | 6035605000 |
| Fax Number: | 6036500787 |
| NPI Enumeration Date: | 09/04/2007 |
| NPI Last Update Date: | 07/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 012872-23-03 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |