Provider Demographics
NPI:1528589322
Name:BRENNAN, KAREN MARIE (NC, BCHN, MSW)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:MARIE
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:NC, BCHN, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4131 BELL MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7709
Mailing Address - Country:US
Mailing Address - Phone:303-522-0381
Mailing Address - Fax:
Practice Address - Street 1:4131 BELL MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7709
Practice Address - Country:US
Practice Address - Phone:303-522-0381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education