Individual
MRS. SHANA MARIA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 747-1560
Mailing address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 747-1560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2304341
MA
363L00000X
Nurse Practitioner
RN67916
MA
363LF0000X
Family Nurse Practitioner
RN2304341
MA
Other
Enumeration date
07/08/2021
Last updated
09/12/2024
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