Individual
MALLORY BREIDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Mailing address
210 W BIRDSALL ST, WEYAUWEGA, WI 54983-8916
(574) 250-7802
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
252198-30
WI
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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