Individual
AMANDA ELIZABETH BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9815 ROOSEVELT BLVD STE G, PHILADELPHIA, PA 19114-1035
(215) 774-8290
Mailing address
9815 ROOSEVELT BLVD STE G, PHILADELPHIA, PA 19114-1035
(215) 774-8290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025046483
PA
Other
Enumeration date
09/22/2025
Last updated
10/28/2025
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