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NPI Code Detail

MEDICARE: MRS. EWA L BRENNAN R.N.,M.S.N.,A.N.P.,C

MEDICARE: MRS. EWA L BRENNAN R.N.,M.S.N.,A.N.P.,C
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
1363L00000XNurse Practitioner2001030526MO
2363LF0000XFamily Nurse Practitioner5017805NC

General Provider Information

NPI Number : 1780847731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EWA L BRENNAN R.N.,M.S.N.,A.N.P.,C
Provider Business Mailing Address
First Line : 4125 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1885
Country : US
Telephone Number : 336-543-0786
Fax Number : 336-234-5411
Provider Business Practice Location Address
First Line : 4125 LAWNDALE DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-1885
Country : US
Telephone Number : 336-543-0786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2008
Last Update Date : 06/05/2024

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Directions to “ MRS. EWA L BRENNAN R.N.,M.S.N.,A.N.P.,C” Practice Location

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