Individual
LAURA ANN BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 WELLNESS WAY, SUITE 7230, ST. SIMONS ISLAND, GA 31522-2286
(912) 634-2795
(912) 638-5636
Mailing address
7000 WELLNESS WAY, SUITE 7230, ST. SIMONS ISLAND, GA 31522-2286
(912) 634-2795
(912) 638-5636
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
101-0028270
VT
363LP0200X
Pediatric Nurse Practitioner
Primary
RN174289NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010659
—
VT
Enumeration date
10/10/2007
Last updated
10/27/2010
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