JANETTE LYNN BRENNEMAN


Address: 715 N Commercial Ave, Superior, NE 68978-1341
Phone: 4028798093

JANETTE LYNN BRENNEMAN (NPI# 1669084034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669084034
Entity Type Individual
Full Name JANETTE LYNN BRENNEMAN
Other Name JANETTE LYNN WATSON
Credential MSN, APRN, WHNP-BC
Practice Address 715 N Commercial Ave
Superior
NE 68978-1341
Practice Telephone 4028798093
Mailing Telephone 4028798093
Enumeration Date 2020-08-18
Last Update Date 2020-08-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
11008412 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 715 N COMMERCIAL AVE
City SUPERIOR
State NE
Zip Code 68978-1341

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1780804112 Terry Dale Kermoade Pharmacist 520 East 10th Street, Superior, NE 68978 2007-04-26
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1013024215 Steve Abe Fox Nurse Anesthetist, Certified Registered 1324 Montana St, Superior, NE 68978-1038 2006-08-24
1790777936 Timothy Blecha Specialist 525 E 11th St, Superior, NE 68978-1101 2005-08-15
1568756609 Alisha Fangmeyer Nurse Practitioner 525 E 11th St, Superior, NE 68978-1101 2011-06-07
1245552140 Matthew Gatlin Physician Assistant 525 E 11th St, Superior, NE 68978-1101 2010-02-18
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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Competitor

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City SUPERIOR
Zip Code 68978

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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