Individual
MRS. GWENDOLYN M PERRY-BRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, MS, WHNP
Contact information
Practice address
8600 SHERIDAN RD STE 600, KENOSHA, WI 53143-6515
(262) 605-6700
(262) 605-6715
Mailing address
3109 SOUTHWOOD DR, RACINE, WI 53406-5415
(262) 554-8094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
486-033
WI
363LW0102X
Women's Health Nurse Practitioner
486-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4385700
—
WI
Enumeration date
10/04/2005
Last updated
11/06/2019
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