# KATIE LYNN BRENNAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1265873319
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 100818 | MT | — |
| 363LP2300X | Primary Care Nurse Practitioner | 38733 | MT | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 05/06/2024