Individual
MARY THERESA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2334511
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2334511
MA
Other
Enumeration date
07/01/2024
Last updated
03/26/2025
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