Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Michelle Lynn Breneman, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1043484371

Mrs. Michelle Lynn Breneman, PNP is a Pediatric Nurse Practitioner in Lake Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

See every abbreviation used in this directory →

Practice location Address checks out

100 Brevco Plz Ste 101
Lake Saint Louis, MO 63367-1382
Phone: (636) 561-5437
Fax: (636) 561-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 2003020311 (MO)

Record details

NPI number1043484371
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedApril 17, 2008
Last updated in NPPESApril 18, 2025
Certification dateJuly 19, 2024

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