Individual
ALEXA SHARON BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4050 BRITT FARM DR, LAFAYETTE, IN 47905-0713
(765) 325-7012
Mailing address
4050 BRITT FARM DR, LAFAYETTE, IN 47905-0713
(765) 325-7012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28260053A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71014715A
IN
Other
Enumeration date
08/29/2022
Last updated
12/01/2023
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