# LAURIE ANN BREBRICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750386330
- **Gender:** F
- **Credential:** MSN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 112396 | WI | — |
| 363L00000X | Nurse Practitioner | 953 | WI | Yes |

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 03/01/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 43883900 | — | WI |