Brennan, Mary T

Brennan, Mary T is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-2202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Brennan, Mary T can be contacted via phone (860) 679-3107.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-2202
Phone: (860) 679-3107
Fax: (860) 679-1843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 002561 Connecticut

Profile Details

NPI number 1497855274
LBN Legal business name Brennan, Mary T
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 6th, 2013 - about 11 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 1497855274 NPPES
Connecticut MEDICAID 1497855274

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