Individual
MS. KRISTINE M BROGE-REYNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-2934
Mailing address
9200 W WISCONSIN AVE, NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-2934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
134341
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
134341
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285880856
—
WI
Enumeration date
08/14/2008
Last updated
08/07/2020
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