Individual
BRIAN SCOTT SCAPARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7530 COUNTY ROAD B, PITTSVILLE, WI 54466-9759
(715) 676-2920
Mailing address
7530 COUNTY ROAD B, PITTSVILLE, WI 54466-9759
(715) 676-2920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
130367
WI
163WC0200X
Critical Care Medicine Registered Nurse
Primary
130367
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04041967
COMMERCIAL
WI
05
—
04041967
—
WI
Enumeration date
06/22/2019
Last updated
05/11/2026
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