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:
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Health care specialties

SpecialtyCodeLicense #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 17 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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