Individual provider · Type 1 NPI

Lisa Brennan, FNP

Family Nurse Practitioner · Fond Du Lac, WI

NPI number 1417628702 Active

Practice location

912 S Hickory St
Fond Du Lac, WI 54935-5530

Mailing address

1964 Chippewa Ct
Grafton, WI 53024-2833

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X11148-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1417628702

Lisa Brennan, FNP's National Provider Identifier is 1417628702, issued on Sep 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Sep 25, 2021.