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Individual

MARY E BRENNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1405 DELAWARE ST, LONGVIEW, WA 98632-2326
(360) 414-2332
(360) 414-2330
Mailing address
PO BOX 249, LONGVIEW, WA 98632-7154
(360) 414-2000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00061070
WA
163WX0106X
Occupational Health Registered Nurse
RN00061070
WA
363LA2200X
Adult Health Nurse Practitioner
AP30001951
WA
363LX0106X
Occupational Health Nurse Practitioner
Primary
AP30001951
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100229
OR
01
166678
LABOR & IND.
WA
01
8933453
CRIME VICTIMS
WA
05
9636150
WA
Enumeration date
08/24/2005
Last updated
09/11/2025
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