Individual
MS. SANDRA BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2511 W EDGEWOOD DR, JEFFERSON CITY, MO 65109-5869
(573) 761-0304
Mailing address
1714 DELTA PL, JEFFERSON CITY, MO 65109-1287
(573) 230-6110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015016932
MO
Other
Enumeration date
05/14/2015
Last updated
01/20/2025
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