Provider Demographics
NPI:1194173609
Name:BRENNAN, PATRICIA (MSN, OCN, CRNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:MSN, OCN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 BARTRAM LN
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-5013
Mailing Address - Country:US
Mailing Address - Phone:215-272-6199
Mailing Address - Fax:
Practice Address - Street 1:1037 BARTRAM LN
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-5013
Practice Address - Country:US
Practice Address - Phone:215-272-6199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN500206-L163W00000X
PASP016408363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse