Provider Demographics
NPI:1295404184
Name:BRENNAN, KIRSTEN JEAN (MSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:KIRSTEN
Middle Name:JEAN
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-9058
Mailing Address - Country:US
Mailing Address - Phone:412-805-2262
Mailing Address - Fax:
Practice Address - Street 1:5009 SPRUCE DR
Practice Address - Street 2:
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-9058
Practice Address - Country:US
Practice Address - Phone:412-805-2262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA582512163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
4128052262OtherN/A