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Contact Information

BRIAN FENN, CRNA
275 SANDWICH ST
PLYMOUTH, MA02360
 Phone: 508-746-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for BRIAN FENN · (Male)

NPI # 1891779732
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 12/05/2005
Last updated 01/04/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # RN174475
  • NH License # 062441-23
  • IN Medicaid 200419580
  • KY Medicaid 74382060
  • NH Medicaid 3134668
  • OH Medicaid 0810500
  • Other 000000179713 ANTHEM BLUE SHIELD
Hospital affiliation(s)
  • YORK HOSPITAL - (Acute Care)
    15 HOSPITAL DRIVE
    YORK, ME 03909
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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