Individual
MR. BRIAN G CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3641-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093954687
—
WI
Enumeration date
02/05/2009
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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