Individual
MICHELLE BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APN,C, RNFA
Contact information
Practice address
140 MOUNTAIN AVE, SUMMIT, NJ 07901-3424
(908) 771-0788
Mailing address
140 MOUNTAIN AVE, SUMMIT, NJ 07901-3424
(908) 771-0788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00061100
NJ
Other
Enumeration date
06/24/2005
Last updated
07/08/2007
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