Individual
MRS. BRENDA B. MITTELSTEADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN. FNP
Contact information
Practice address
4704 BAYBERRY ST, SCHOFIELD, WI 54476-6097
(715) 843-0366
(715) 322-2084
Mailing address
4704 BAYBERRY ST, SCHOFIELD, WI 54476-6097
(715) 843-0366
(715) 322-2084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1898
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43940600
—
WI
Enumeration date
08/11/2005
Last updated
02/03/2023
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