Individual
MATTHEW BRELIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-7001
Mailing address
3702 SUSSEX LN, MADISON, WI 53714-2353
(608) 556-8078
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15433-33
WI
363LF0000X
Family Nurse Practitioner
15433-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568292373
—
WI
Enumeration date
08/06/2024
Last updated
09/10/2024
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