LISA BRENNAN FNP NPI 1417628702

NPI Information

  • NPI: 1417628702
  • Provider Name: LISA BRENNAN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 912 S HICKORY ST
    FOND DU LAC, WI
    ZIP 54935
  • Phone: (920) 907-3922

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NPI Details

Lisa Brennan, FNP is a family nurse practitioner in Fond Du Lac, WI. Lisa Brennan, FNP NPI is 1417628702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935-530
Phone: (920) 907-3922

The NPI 1417628702 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2021 and was last updated on 9/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily11148-33WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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