DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISSA BRENNAN, PA-C

Active

MARISSA BRENNAN, PA-C is a Medical Physician Assistant healthcare provider located in NEW LONDON, Connecticut. NPI 1902324205 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NEW LONDON, CT

Registration Details

NPI Number
1902324205
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2017 (8.7507691514945 yrs)
Last Updated
Sep 4, 2025
Licenses
3987 (CT)
PA01528 (RI)

Practice Information

Address
365 MONTAUK AVE
NEW LONDON, CT, 063204700
Browse CT providers · Browse ZIP 06320
Phone
8602714364
Fax
8604445114
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Medical Physician Assistant Providers in NEW LONDON, CT

Name Credential NPI
MS. CHARLENE ROBERTA THOMPSON CRISS PA-C 1760469514
MR. BRYAN KEITH ODITT APA-C 1023096237
JILL LAGEMAN PA-C 1609979830
AMELIA VAZQUEZ-VALICEK PA-C 1417055914
DANIELLE J ROBBINS PA 1053419333
KARA MIGNOSA PA-C 1598857211
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.