Individual
ANNE E BRENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
353 BLAIR PARK RD, WILLISTON, VT 05495-7530
(802) 847-1470
Mailing address
353 BLAIR PARK RD, WILLISTON, VT 05495-7530
(802) 847-1470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0012529
VT
207R00000X
Internal Medicine Physician
223593
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499880001
BS OF NENY LEGACY
NY
05
—
002242639
—
NY
01
—
116300
MVP LEGACY
NY
01
—
7797529
AETNA LEGACY
NY
01
—
P010223593
EXCELLUS LEGACY
NY
01
—
P52210
EMPIRE BC/BS LEGACY
NY
Enumeration date
10/04/2006
Last updated
10/16/2012
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