Doris Brenneman
Individual provider Active NPI School Registered Nurse · Warrenville, SC
NPI 1043551385 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1043551385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R25123 (SC)
- Practice address
- 29 Lions TRL
Warrenville, SC 29851-2239 - Phone
- (803) 593-7260
- Fax
- (803) 593-7119
- NPI assigned
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R25123 | SC | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R25123 | SC | Yes |
Addresses
Primary practice location
29 Lions TRL
Warrenville, SC 29851-2239
Mailing address
29 Lions TRL
Warrenville, SC 29851-2239
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- Kaitlin Fry
- Angela Michelle Gaskins
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All providers in Warrenville, SC · School Registered Nurse in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.