Individual
BROOKE L VANDENBOOGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 266-6820
(414) 266-6979
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 266-6820
(414) 266-6979
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13788
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124742903
—
WI
Enumeration date
09/27/2022
Last updated
10/31/2024
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