Individual
MRS. BRIGITTE ELISE WITTENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
318 BROOKSIDE DR UNIT 6, MAYVILLE, WI 53050-2847
(920) 214-3423
Mailing address
318 BROOKSIDE DR UNIT 6, MAYVILLE, WI 53050-2847
(920) 214-3423
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309698-31
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309698-31
NURSING LICENSE
WI
Enumeration date
07/08/2012
Last updated
07/08/2012
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