Individual provider · Type 1 NPI
Alexa Sharon Brenneman, CPNP-PC
Pediatric Nurse Practitioner · Lafayette, IN
NPI number
1043930209
Active
Practice location
4050 Britt Farm Dr
Lafayette, IN 47905-0713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28260053A (IN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 71014715A (IN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1043930209
Alexa Sharon Brenneman, CPNP-PC's National Provider Identifier is 1043930209, issued on Aug 29, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lafayette, IN. The record was last updated on Dec 1, 2023.