Individual
AUDREY MICHELLE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4 MEMORIAL DR STE 230, ALTON, IL 62002-6704
(618) 465-8666
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(314) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2021048680
MO
363L00000X
Nurse Practitioner
Primary
209025875
IL
363LF0000X
Family Nurse Practitioner
2021048680
MO
Other
Enumeration date
12/07/2021
Last updated
06/12/2024
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