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Individual

MS. MARY J BRENNAN

Active
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Individual

MS. MARY J BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
047934-23
NH
363LA2100X
Acute Care Nurse Practitioner
047934-23
NH
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP211468
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30347119
NH
05
432951999
ME
Enumeration date
08/02/2006
Last updated
12/21/2021
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