Individual
DENISE MARY BRILLIANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2340 E MASON ST, GREEN BAY, WI 54302-3746
(920) 406-9865
(920) 592-9479
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1391-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43900300
—
WI
Enumeration date
11/17/2006
Last updated
03/26/2019
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