Individual
BRENDA MUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13402 W TRAVIS TRCE, EVANSVILLE, WI 53536-8115
(608) 295-5550
Mailing address
13402 W TRAVIS TRCE, EVANSVILLE, WI 53536-8115
(608) 295-5550
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2224
WI
Other
Enumeration date
03/10/2006
Last updated
02/05/2024
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