Healthcare Provider Details

I. General information

NPI: 1720632847
Provider Name (Legal Business Name): KIMBERLY BRENNAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2019
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 TURNPIKE DR STE 400
WESTMINSTER CO
80031-7033
US

IV. Provider business mailing address

8700 TURNPIKE DR STE 400
WESTMINSTER CO
80031-7033
US

V. Phone/Fax

Practice location:
  • Phone: 858-837-7736
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95012297
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1000837-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: