Individual
SHANNON BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 ALTAIR PKWY STE 4400, WESTERVILLE, OH 43082-7654
(614) 891-4705
(614) 568-8050
Mailing address
400 ALTAIR PKWY STE 4400, WESTERVILLE, OH 43082-7654
(614) 891-4705
(614) 568-8050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007058RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012523
—
OH
Enumeration date
02/18/2022
Last updated
12/17/2024
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