Candace Lauren Brennan
Nurse Anesthetist, Certified Registered in Detroit, MI. Individual provider (NPI-1).
NPI number1023740941
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1023740941
- Entity type
- Individual (NPI-1)
- Name
- Candace Lauren Brennan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2022
- Certification date
- Dec 6, 2022
- Last updated
- Dec 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704313946 | MI | Yes |
| 163W00000X | Registered Nurse | 4704313946 | MI |
Practice location
3990 John R StDetroit, MI 48201-2018
Phone 313-745-8040
Mailing address
3990 John R StDetroit, MI 48201-2018
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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