Individual
LAUREL R BREIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
W147 N10773 HERITAGE PARKWAY, GERMANTOWN, WI 53022-4384
(262) 502-9572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1132-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43931400
—
WI
Enumeration date
06/20/2005
Last updated
10/29/2012
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