Individual
NINA SEBASTIAN BREDEHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, CPNP, PMH
Contact information
Practice address
10303 N PORT WASHINGTON RD, SUITE 203, MEQUON, WI 53092-5760
(262) 241-5955
(262) 241-5926
Mailing address
124 E HARRISON ST, COLUMBUS, WI 53925-1510
(262) 241-5955
(262) 241-5926
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
170295-30
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
4971-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4971-33
WI
Other
Enumeration date
09/13/2012
Last updated
03/17/2018
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