Provider Demographics
NPI:1992885552
Name:BRENNAN, CATHERINE SHAUGHNESSY (MS,RN,CNS)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:SHAUGHNESSY
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:MS,RN,CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 S CEDAR ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-3152
Mailing Address - Country:US
Mailing Address - Phone:517-702-4100
Mailing Address - Fax:
Practice Address - Street 1:2316 S CEDAR ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-3152
Practice Address - Country:US
Practice Address - Phone:517-702-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704178839163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care