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Brian Fenn, CRNA

Nurse Anesthetist, Certified Registered in Plymouth, MA. Individual provider (NPI-1).

NPI number1891779732
StatusActive
Last updated in NPPESJan 4, 2023

Details

NPI
1891779732
Entity type
Individual (NPI-1)
Name
Brian Fenn
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Dec 5, 2005
Certification date
Jan 4, 2023
Last updated
Jan 4, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Can order and refer
Part B Yes · DME No · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredRN174475MAYes
367500000X Nurse Anesthetist, Certified Registered062441-23NH

Practice location

275 Sandwich St
Plymouth, MA 02360

Phone 508-746-2000

Mailing address

275 Sandwich St
Plymouth, MA 02360-2183

Phone 508-746-2000

Other practice locations

One Medical Village Drive
Independent Anesthesiologists Psc
Edgewood, KY 41017

Phone 859-341-7246 · Fax 859-341-7867

One Medical Village Drive
Independent Anesthesiologists Psc
Edgewood, KY 41017

Phone 859-341-7246 · Fax 859-341-7867

789 Central Ave
Dover, NH 03820-2526

Phone 603-609-6819

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.

Other Certified Registered Nurse Anesthetist providers in Plymouth, MA

All 26 Certified Registered Nurse Anesthetist providers in Plymouth · All 2,407 providers in Plymouth

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