Individual provider · Type 1 NPI
Michelle Lynn Breneman, PNP
Pediatric Nurse Practitioner · Lake St. Louis, MO
NPI number
1043484371
Active
Practice location
100 Brevco Plz, Ste 101
Lake St. Louis, MO 63367-1382
Fax (636) 561-5100
Mailing address
PO Box 7412119
Chicago, IL 60674-2119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2003020311 (MO) |
Pediatric Nurse Practitioner: Definition to come...
6 other providers at this address
- Naresh Solanki IncPediatric Adolescent Medicine Physician Lake St. Louis, MO NPI 1316089022
- Wuca-Westside Pediatrics LLCPediatrics Physician Lake St. Louis, MO NPI 1700325123
- Elise Maria Marker, MDPediatrics Physician Lake St. Louis, MO NPI 1568165181
- Kris Ann Roberts, DOPediatrics Physician Lake St. Louis, MO NPI 1770564163
- Naresh J. Solanki, MDPediatric Adolescent Medicine Physician Lake St. Louis, MO NPI 1225007412
- Richard A. Felkel, MDPediatrics Physician Lake St. Louis, MO NPI 1689643819
Other pediatric nurse practitioner providers in Lake St. Louis
About NPI 1043484371
Michelle Lynn Breneman, PNP's National Provider Identifier is 1043484371, issued on Apr 17, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lake St. Louis, MO. The record was last updated on Apr 18, 2025.