Brennan, Mary E

Brennan, Mary E is an individual health care provider with primary practice located at 1405 Delaware St , Longview WA 98632-2326. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Occupational Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health. Nursing Service Providers / Registered Nurse is her primary health care specialty. Brennan, Mary E can be contacted via phone (360) 414-2332.

Contact Information

Primary practice address
1405 Delaware St Longview WA 98632-2326
Phone: (360) 414-2332
Fax: (360) 414-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00061070 Washington
Nursing Service Providers / Occupational Health 163WX0106X RN00061070 Washington
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP30001951 Washington
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X AP30001951 Washington

Profile Details

NPI number 1861485872
LBN Legal business name Brennan, Mary E
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861485872 NPPES
Oregon MEDICAID 100229
Oregon Other 166678
Oregon Other 8933453
Oregon MEDICAID 9636150

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