Individual
MRS. BRITTANY A FASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, FROEDTERT AND MEDICAL COLLEGE OF WISCONSIN, MILWAUKEE, WI 53226-3522
(414) 805-6850
Mailing address
9200 W WISCONSIN AVENUE, FROEDTERT AND MEDICAL COLLEGE OF WISCONSIN, MILWAUKEE, WI 53226-3522
(414) 805-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
7922-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588180582
—
WI
Enumeration date
08/21/2017
Last updated
02/19/2018
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