Healthcare Provider Details

I. General information

NPI: 1023593282
Provider Name (Legal Business Name): SALLY ANN BREEN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 E CHERRY ST
TROY MO
63379-1520
US

IV. Provider business mailing address

1175 E CHERRY ST
TROY MO
63379-1520
US

V. Phone/Fax

Practice location:
  • Phone: 636-528-8686
  • Fax:
Mailing address:
  • Phone: 636-528-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2024001835
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: