Individual
MRS. BRANDY C PERINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6577
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12138
WI
363LF0000X
Family Nurse Practitioner
12138
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222237
—
WI
Enumeration date
11/07/2022
Last updated
04/01/2025
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