Individual
LISA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
912 S HICKORY ST, FOND DU LAC, WI 54935-5530
(920) 907-3922
Mailing address
1964 CHIPPEWA CT, GRAFTON, WI 53024-2833
(262) 618-4075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11148-33
WI
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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