Elizabeth A Brenner

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

271767 Issued in AZ

Practice address

1255 E Horseshoe Ave
Gilbert, AZ 85296-1911

Phone

(602) 228-1887

NPI assigned

Mar 2, 2022

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1073260790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E HORSESHOE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961911",
            "telephone_number": "160-222-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 E HORSESHOE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961911",
            "telephone_number": "602-228-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "271767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqulyn Breckow, SLP
• Frances Elaine Breed, MSN/FNP-C
• Breeze Dental, PLLC
• Caeley Brennan, DPT
• Courtney Lynn Brenner, LAMFT
• Mark Brenner, DO
• Olivia P Breseman
• Brandon David Brewer, CRNA
• Buckley Brewer
• Daniel Kenneth Brewer, LCSW

• Women's Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Women's Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.