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Individual

MRS. BRENDA EDMUNDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1483
Mailing address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1483

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143821-30
WI
363L00000X
Nurse Practitioner
Primary
4089-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100010764
WI
Enumeration date
07/16/2010
Last updated
10/23/2025
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