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NPI Profile for MICHELLE L BRENEMAN in LAKE SAINT LOUIS, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner |
| NPI Number | 1043484371 |
|
| Status | Active | |
| Credentials | PNP | |
| Entity | Individual | |
| Enumeration date | 04/17/2008 | |
| Last updated | 04/18/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHELLE L BRENEMAN
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MICHELLE L BRENEMAN, PNP