MEDICARE: TERESA K BRENNING RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN387211	OH

General Provider Information

NPI Number	:	1992830491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA K BRENNING RN

Provider Business Mailing Address
First Line	:	113 MOCCASIN RD
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-7611
Country	:	US
Telephone Number	:	323-541-7215
Fax Number	:

Provider Business Practice Location Address
First Line	:	1252 N BRIDGE ST
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-1852
Country	:	US
Telephone Number	:	866-534-2639
Fax Number	:	800-480-7578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	11/20/2025

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