National Provider Identifier

Amanda Elise Brennen, PA

Amanda Elise Brennen, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4200.

NPI 1437937653Rochester, NYPhysician Assistant

Source: public NPPES record, last updated September 19, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1437937653
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 19, 2023
Last Updated
September 19, 2023

Practice Location

  • 1415 Portland Ave Ste 400490
  • Rochester, NY 14621-3038

Phone: (585) 922-4200

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Physician Assistant (363A00000X)

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Full Record
NPI
1437937653
Entity Type
Individual
Last Name
Brennen
First Name
Amanda
Middle Name
Elise
Credential
PA
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1415 Portland Ave Ste 400490
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3038
Practice Country
US
Practice Phone
(585) 922-4200
Enumeration Date
September 19, 2023
Last Updated
September 19, 2023
Sex
Female
Sole Proprietor
No
Certification Date
September 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)