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NPI Code Detail

MEDICARE: STEPHEN WILLIAM BRENNAN

MEDICARE: STEPHEN WILLIAM BRENNAN
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
1367500000XCertified Registered Nurse Anesthetist158463NC

General Provider Information

NPI Number : 1811749294
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN WILLIAM BRENNAN
Provider Business Mailing Address
First Line : 5050 ORCHARD PARK DR
Second Line :
City : HICKORY
State : NC
Zip : 28602-7238
Country : US
Telephone Number : 573-979-2208
Fax Number :
Provider Business Practice Location Address
First Line : 420 N CENTER ST
Second Line :
City : HICKORY
State : NC
Zip : 28601-5033
Country : US
Telephone Number : 828-315-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2024
Last Update Date : 06/03/2026

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