Doctor Name: | MRS. ELIZABETH ANN BRENNAN |
NPI Number: | 1093022246 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NNP-BC |
License Number: | 2010031567 |
Business Practice Address: | 7532 Cromwell Dr Unit 1s Clayton, MO - 631052955 |
Business Phone Number: | 3145043453 |
Business Fax Number: | |
Mailing Address: | 7532 Cromwell Dr, Unit 1s CLAYTON |
State: | MO |
Postal Code: | 631052955 |
Phone Number: | 3145043453 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2010 |
NPI Last Update Date: | 09/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0005X |
License Number: | 2010031567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal, Critical Care |
Taxonomy Definition: |