Individual
MS. JOAN ELIZABETH BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
75 SOCKANOSSET CROSS RD, SUITE 100, CRANSTON, RI 02920-5558
(401) 946-6200
(401) 275-1992
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4760
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPP37367
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0070589051
MEDICARE PTAN
RI
01
—
411813
UGS
RI
05
—
JB73279
—
RI
Enumeration date
08/24/2006
Last updated
04/02/2013
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