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DERRICK PAUL BRENNAN
NPI 1376229724
Licensed Practical Nurse in Charleston, WV

Active since June 22, 2023
4825 MACCORKLE AVE SW STE F, CHARLESTON, WV 25309(304) 346-9667 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derrick Paul Brennan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK PAUL BRENNAN (NPI 1376229724) is an individual licensed practical nurse in Charleston, West Virginia, licensed in West Virginia (33126) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1376229724
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameDERRICK PAUL BRENNAN
Location Address4825 MACCORKLE AVE SW STE FCharleston, WV 25309-1365
Mailing Address4825 Maccorkle Ave Sw Ste FCharleston, WV 25309-1365 · (304) 346-9667
Phone(304) 346-9667
Sole ProprietorNo
Enumeration DateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1376229724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WV · 33126
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4825 MACCORKLE AVE SW STE F, Charleston, WV 25309
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITNEY KENNEDY RN
Registered Nurse (Home Health)
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-9667
SHARON BETH CHAMBERS RN
Registered Nurse (Home Health)
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-9667
RODNEY JAY BALL RN
Registered Nurse (Home Health)
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-9667
TARA MANCHIN
Physical Therapy Assistant
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-9667
ALYSHIA SHADAE HENRY
Home Health Aide
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-9667
JESSICA HINDS
Registered Nurse
4825 MACCORKLE AVE SW STE F
CHARLESTON, WV 25309
Kanawha County (304) 346-9717
KEAIRA TIPTON
Registered Nurse (Home Health)
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-9667
DWAYNE EDGAR WRISTON
Occupational Therapy Assistant
4825 MACCORKLE AVE SW STE F
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 346-9667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Brennan's NPI number?

The NPI number for Derrick Brennan is 1376229724. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Derrick Brennan located?

Derrick Brennan practices at 4825 Maccorkle Ave SW Ste F, Charleston, WV 25309. The listed phone number is (304) 346-9667.

What is Derrick Brennan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Derrick Brennan was last updated on June 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.