Individual
MS. BEVERLY E BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241
(920) 793-7300
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1528-033
WI
363L00000X
Nurse Practitioner
Primary
47450-030
WI
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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