Individual
BREANA M VANDOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
157210-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
106908
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100052597
—
WI
Enumeration date
11/17/2015
Last updated
07/25/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up