Provider Demographics
NPI:1386530251
Name:NERI, BRENNA NICHOLE (BSM, LM, CPM)
Entity type:Individual
Prefix:
First Name:BRENNA
Middle Name:NICHOLE
Last Name:NERI
Suffix:
Gender:F
Credentials:BSM, LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4380 APRICOT RD
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2317
Mailing Address - Country:US
Mailing Address - Phone:805-422-3004
Mailing Address - Fax:805-521-3646
Practice Address - Street 1:4380 APRICOT RD
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2317
Practice Address - Country:US
Practice Address - Phone:805-422-3004
Practice Address - Fax:805-521-3646
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM767176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife