Individual
LAURIE ANN BREBRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
3220 MISSION AVE STE 1, OCEANSIDE, CA 92058-1354
(760) 433-3155
(760) 722-7359
Mailing address
3220 MISSION AVE STE 1, OCEANSIDE, CA 92058-1354
(760) 433-3155
(760) 722-7359
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
112396
WI
363L00000X
Nurse Practitioner
Primary
953
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43883900
—
WI
Enumeration date
06/20/2005
Last updated
03/01/2010
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