Provider Demographics
NPI:1376176438
Name:BROTHERS, BRENNA JOY (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:BRENNA
Middle Name:JOY
Last Name:BROTHERS
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8715 VILLAGE DR STE 518
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5423
Mailing Address - Country:US
Mailing Address - Phone:210-590-7712
Mailing Address - Fax:
Practice Address - Street 1:8715 VILLAGE DR STE 518
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-5423
Practice Address - Country:US
Practice Address - Phone:210-590-7712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-18
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144700363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily