Individual
MR. BRIAN BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6155 S GRAND BLVD, SAINT LOUIS, MO 63111-2319
(314) 652-0100
Mailing address
PO BOX 790379, SAINT LOUIS, MO 63179-0379
(314) 652-0100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019001501
MO
363LF0000X
Family Nurse Practitioner
Primary
2019001501
MO
363LP2300X
Primary Care Nurse Practitioner
2019001501
MO
Other
Enumeration date
10/30/2019
Last updated
04/07/2026
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