Individual
ELLEN PRUEHER BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
280 W MACARTHUR BLVD, OCCUPATIONAL MEDICINE, OAKLAND, CA 94611-5642
(510) 753-6972
Mailing address
1022 MARIE AVE, MARTINEZ, CA 94553-3521
(510) 752-6972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217437
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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