Individual provider · Type 1 NPI
Mary L. Brennan, NP
Nurse Practitioner · Peoria, IL
Practice location
5401 N Knoxville Ave, Suite 119
Peoria, IL 61614-5098
Fax (309) 692-1771
Mailing address
PO Box 9726
Peoria, IL 61612-9726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1396789509
Mary L. Brennan, NP's National Provider Identifier is 1396789509, issued on Jun 16, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 13, 2026.