Individual
LAURIE JEAN BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, WHNP-BC
Contact information
Practice address
1119 S WASHINGTON AVE, SAGINAW, MI 48601-2558
(989) 752-1900
(989) 752-1901
Mailing address
1119 S WASHINGTON AVE, SAGINAW, MI 48601-2558
(989) 752-1900
(989) 752-1901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704158768
MI
363LW0102X
Women's Health Nurse Practitioner
4704158768
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4380712
—
MI
Enumeration date
07/31/2006
Last updated
10/20/2016
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