Individual
BREANNA BENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-7440
Mailing address
1204 SAINT AGNES DR, GREEN BAY, WI 54304-2260
(920) 362-4478
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
232573
WI
363LF0000X
Family Nurse Practitioner
Primary
14089-33
WI
Other
Enumeration date
05/17/2023
Last updated
02/03/2026
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