Individual provider · Type 1 NPI
Mary Theresa Brennan, CPNP
Pediatric Nurse Practitioner · Boston, MA
NPI number
1336984368
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Other practice locations
- 51 Blossom St, Boston, MA 02114-2601 · (617) 722-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2334511 (MA) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2334511 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1336984368
Mary Theresa Brennan, CPNP's National Provider Identifier is 1336984368, issued on Jul 1, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Mar 26, 2025.