Individual
JEAN MARIE BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4646 N 11TH AVE, UNIT 119, PHOENIX, AZ 85013-7605
(480) 272-1267
Mailing address
4646 N 11TH AVE, UNIT 119, PHOENIX, AZ 85013-7605
(480) 272-1267
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN165582
AZ
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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