Provider Demographics
NPI:1134351919
Name:BRENNAN, PATRICIA M (CD(DONA), PCD(DONA))
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:M
Last Name:BRENNAN
Suffix:
Gender:F
Credentials:CD(DONA), PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 BROOKS ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3160
Mailing Address - Country:US
Mailing Address - Phone:734-663-1523
Mailing Address - Fax:734-663-7544
Practice Address - Street 1:722 BROOKS ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3160
Practice Address - Country:US
Practice Address - Phone:734-663-1523
Practice Address - Fax:734-663-7544
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide