Individual
KATHLEEN A BRENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0178
(757) 470-5570
(757) 363-6204
Mailing address
2025 GLENN MITCHELL DR, VIRGINIA BEACH, VA 23456-0178
(757) 470-5570
(757) 363-6204
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.08354-NA
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
0024173101
VA
Other
Enumeration date
03/26/2007
Last updated
08/10/2016
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