Individual
JOLINE BROTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, PMHCNS-BC
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 922-3324
(920) 929-3129
Mailing address
298 E 1ST ST, FOND DU LAC, WI 54935-4357
(920) 315-3922
(920) 214-1076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5048-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5048-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026161
—
WI
05
—
100084008
—
WI
Enumeration date
09/17/2012
Last updated
05/07/2024
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