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NPI Code Detail

MEDICARE: MS. BRENNA MARIE CHAMPLIN

MEDICARE: MS. BRENNA MARIE CHAMPLIN
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
1174400000XSpecialist

General Provider Information

NPI Number : 1932030053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRENNA MARIE CHAMPLIN
Provider Business Mailing Address
First Line : 4610 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4610 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2200
Country : US
Telephone Number : 800-282-3284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ MS. BRENNA MARIE CHAMPLIN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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