Individual
BEAU E BRACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2500 E CAPITOL DR STE 1700, APPLETON, WI 54911-8735
(920) 731-8131
(920) 832-0444
Mailing address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8131
(920) 832-0444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8970
WI
Other
Enumeration date
01/16/2019
Last updated
07/19/2023
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