Sharon Brennan
Nurse Practitioner, Family in Oak Lawn, IL. Individual provider (NPI-1).
NPI number1982003109
StatusActive
Last updated in NPPESFeb 16, 2021
Details
- NPI
- 1982003109
- Entity type
- Individual (NPI-1)
- Name
- Sharon Brennan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2014
- Certification date
- Feb 16, 2021
- Last updated
- Feb 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209-011414 | IL | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 209011414 | IL | |
| 363LP2300X | Nurse Practitioner, Primary Care | 209011414 | IL |
Other names
- Sharon Marie Brennan (Professional Name)
Practice location
4440 West 95th StreetSuite 2638 Outpt. Pavillion
Oak Lawn, IL 60464
Phone 708-684-4382
Mailing address
4440 W 95th St Ste 6409Oak Lawn, IL 60453-2600
Phone 778-684-4327 · Fax 708-520-1875
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