Individual
MS. BRENDA REISS BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 S 900 E, SLC, UT 84105-3208
(801) 464-7854
(801) 464-7876
Mailing address
2000 S 900 E, SLC, UT 84105-3208
(801) 464-7854
(801) 464-7876
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
1993934405
UT
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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