Individual
MRS. MARIA J BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
63 CANTERBURY RD, WINDHAM UROLOGY GROUP, BROOKLYN, CT 06234
(860) 412-0491
(860) 412-0496
Mailing address
63 CANTERBURY RD., WINDHAM UROLOGY GROUP, BROOKLYN, CT 06234
(860) 412-0491
(860) 412-0496
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
001754
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004198679
—
CT
01
—
00419867900
BLUECARE FAMILY PLAN
CT
01
—
2V4032
HEALTHNET OF CT
CT
01
—
40000175CT01
ANTHEM BC/BS
CT
05
—
500000089
—
CT
01
—
P2971942
OXFORD HEALTH PLAN
CT
Enumeration date
04/21/2006
Last updated
10/12/2017
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