Provider Demographics
NPI:1568958155
Name:BRENNAN, ANN
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4230
Mailing Address - Country:US
Mailing Address - Phone:734-661-8044
Mailing Address - Fax:734-661-8030
Practice Address - Street 1:400 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-4230
Practice Address - Country:US
Practice Address - Phone:734-661-8044
Practice Address - Fax:734-661-8030
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator