| Doctor Name: | BONNIE L. BRENEMAN |
| NPI Number: | 1134127145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC/WHNP |
| License Number: | 0024050799 |
| Business Practice Address: | 9501 Farrell Rd Fort Belvoir, VA - 220605901 |
| Business Phone Number: | 7038050311 |
| Business Fax Number: | 7038059351 |
| Mailing Address: | 7689 Sheffield Village Ln, LORTON |
| State: | VA |
| Postal Code: | 220791718 |
| Phone Number: | 7035506023 |
| Fax Number: | 7038050311 |
| NPI Enumeration Date: | 07/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 0024050799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |