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SIOBHAN BRENNAN
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1437672714
Individual Registrant: SIOBHAN BRENNAN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
58 BIG A RD TOCCOA, GA 30577-6017 US
Tel: 706-886-6819 Fax: 706-282-5373
Tel: 706-886-6819 Fax: 706-282-5373
Contact information for business:
PO BOX 742616 ATLANTA, GA 30374-2616 US
Tel: 770-219-8420 Fax: 770-219-8440
Tel: 770-219-8420 Fax: 770-219-8440
Registration Information:
NPI: 1437672714
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN230228 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
