Brennan, Marissa
Brennan, Marissa is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Brennan, Marissa can be contacted via phone (860) 271-4364.Contact Information
Primary practice address
365 Montauk Ave
New London CT 06320-4700
Phone: (860) 271-4364
Fax: (860) 444-5114
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3987 | Connecticut |
Profile Details
NPI number | 1902324205 |
---|---|
LBN Legal business name | Brennan, Marissa |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 7th, 2017 |
Last updated | Jul 17th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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