Individual
LISA BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1220 VALLEY FORGE RD STE 35, PHOENIXVILLE, PA 19460-2676
(610) 933-1688
(610) 983-0698
Mailing address
904 N PROVIDENCE RD, MEDIA, PA 19063-2135
(610) 896-4466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013753
PA
Other
Enumeration date
07/01/2014
Last updated
01/08/2019
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