Individual
AMALIA A BROUILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP B-C, APNP
Contact information
Practice address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
Mailing address
3200 PLEASANT VALLEY RD, WEST BEND, WI 53095-9274
(262) 836-7300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7662-33
WI
Other
Enumeration date
07/14/2017
Last updated
04/24/2019
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