Brennan, Mary L
Brennan, Mary L is an individual health care provider with primary practice located at 5401 N Knoxville Ave Suite 119, Peoria IL 61614-5098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brennan, Mary L can be contacted via phone (309) 692-1700.Contact Information
Primary practice address
5401 N Knoxville Ave Suite 119
Peoria IL 61614-5098
Phone: (309) 692-1700
Fax: (309) 692-1771
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | Illinois |
Profile Details
NPI number | 1396789509 |
---|---|
LBN Legal business name | Brennan, Mary L |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2006 |
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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