Individual
BRENNA MICHELLE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
711 E CAREFREE HWY STE 104, PHOENIX, AZ 85085-0103
(309) 287-6555
(309) 326-4612
Mailing address
2233 W CLEARVIEW TRL, ANTHEM, AZ 85086-3656
(309) 287-6555
(309) 326-4612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
249237
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-4869956
IRS
—
Enumeration date
10/27/2020
Last updated
04/29/2026
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