PATRICIA BRENNEN (NPI# 1821142795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821142795 |
Entity Type | Individual |
Full Name | PATRICIA BRENNEN |
Credential | NP |
Practice Address |
3720 Davinci Ct Suite 400 Norcross GA 30092-7627 |
Mailing Address |
7130 Brookwood Way Cumming GA 30041-7338 |
Practice Telephone | 7705823826 |
Mailing Telephone | 7703469112 |
Enumeration Date | 2007-01-22 |
Last Update Date | 2015-09-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN134323 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3720 DAVINCI CT SUITE 400 |
City | NORCROSS |
State | GA |
Zip Code | 30092-7627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528048238 | Grace Koucheravy | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2006-01-19 |
1326598681 | Compassus Op of Georgia I LLC | Hospice Care, Community Based | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2016-10-11 |
1174911358 | Rakeisha Nichole Franklin | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-12-23 |
1770903023 | Mary Perloe | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-04-24 |
1477970549 | Kami Bonner Pugh | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2014-03-26 |
1124467873 | Janeen Renee Cook | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2013-06-17 |
1326486168 | Lorie S. Delk and Associates, Inc. | Speech-Language Pathologist | 3720 Davinci Ct, Suite 250, Norcross, GA 30092-7627 | 2013-06-13 |
1437493277 | Chad Harlin | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2012-11-16 |
1114202207 | Lora Elizabeth Crowe | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2011-10-20 |
1982903902 | Lacey Nicole Stevens | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2011-03-16 |
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1083172035 | Tebo Dentistry for Kids Peachtree Corners, LLC | Clinic/Center | 6460 Spalding Drive, Suite C, Peachtree Corners, GA 30092 | 2019-03-08 |
1043794472 | Cai Hong Senior Services Inc | Clinic/Center | 4093 Spalding Hollow, Peatree Corners, GA 30092 | 2018-09-21 |
1952810566 | Children In Motion Therapy Services LLC | Occupational Therapist | 5655 Peachtree Pkwy Ste 117, Norcross, GA 30092 | 2017-09-26 |
1922517945 | Infinity Wellness Solutions LLC | Emergency Medicine | 3240 Pointe Parkway, Suite 100, Norcross, GA 30092 | 2017-09-21 |
1346769593 | Global Diagnostic Labs, LLC | Pathology | 3240 Pointe Pkwy Ste 200, Norcross, GA 30092 | 2017-09-19 |
1467993345 | Boris Mcguire Day | Counselor | 3597 Monticello Commons, Norcross, GA 30092 | 2017-03-13 |
1598205239 | Iwc East LLC | Internal Medicine | 40 Technology Parkway, #300, Norcross, GA 30092 | 2017-02-28 |
1851744254 | Lms Surgical Services | Specialist/Technologist, Other | 6050 Peachtree Pkwy Suite240-358, Norcross, GA 30092 | 2016-07-20 |
1881085603 | A Hand To Hold | Home Health | 3459 Holcomb Bridge Rd., Suite 100, Peachtree Corners, GA 30092 | 2015-02-16 |
1790196467 | Wranglehurst, P.C. | Dentist | 3850 Holcomb Br. Rd, Suite 230, Norcross, GA 30092 | 2014-05-15 |
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Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598251779 | Jessica Joy Noggle Taylor | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2018-07-10 |
1629468160 | Ferric Clements | Nurse Practitioner | 3720 Davinci Ct Ste 400, Norcross, GA 30092-7625 | 2015-02-04 |
1770903023 | Mary Perloe | Nurse Practitioner | 3720 Davinci Ct, Norcross, GA 30092-7627 | 2014-04-24 |
1437493277 | Chad Harlin | Nurse Practitioner | 3720 Davinci Ct, Suite 400, Norcross, GA 30092-7627 | 2012-11-16 |
1578609871 | Wendy L Wolff | Nurse Practitioner | 3720 Davinci Ct, Ste 400, Norcross, GA 30092-7627 | 2007-01-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.