Most Relevant Information
Provider Data
| NPI Number: | 1003455403 |
| Provider Name: | BRENNA LANSDEN MSN,FNP-C,IBCLC |
| Entity Type: | Individual |
| Taxonomy Code: | 163WL0100X |
| Specialty: | Registered Nurse |
| License Number: | L-160867 |
Most Important Dates
| Enumeration Date: | 01/02/2020 |
| Last Updated: | 08/01/2023 |
Provider Practice Location
608 CHEAT RD
MORGANTOWN
WV
265084210
Practice Location Phone/Fax
| Phone: | 3045941313 |
| Fax: |
Provider Mailing Location
608 CHEAT RD
MORGANTOWN
WV
265084210
Provider Mailing Phone/Fax
| Phone: | 3045942481 |
| Fax: |