Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLE BRENNER
Active Sole ProprietorNICHOLE BRENNER is a Podiatric Surgery healthcare provider located in KEARNS, Utah. NPI 1457951683 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · KEARNS, UT
Registration Details
- NPI Number
- 1457951683
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 27, 2020 (5.8096167962292 yrs)
- Last Updated
- Oct 27, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
5694 S SARAH JANE DRKEARNS, UT, 841187549Browse UT providers · Browse ZIP 84118
- Phone
- 5312139883
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.