Individual
MR. DANIEL P BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3713 PUDDINGSTONE CV, CHARLOTTE, NC 28210-6474
(612) 723-3401
Mailing address
3713 PUDDINGSTONE CV, CHARLOTTE, NC 28210-6474
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
222849
NC
367500000X
Certified Registered Nurse Anesthetist
R-119913-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712668900
—
MN
05
—
8053888
—
NC
05
—
NAN977
—
SC
Enumeration date
01/09/2006
Last updated
10/03/2011
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