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Individual

BRENDA L FORSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1320 OKEEFFE AVE APT 113, SUN PRAIRIE, WI 53590-4193
(000) 000-0000
Mailing address
1320 OKEEFFE AVE APT 113, SUN PRAIRIE, WI 53590-4193

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1179-033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43895300
WI
01
6332
DEAN HEALTH INSURANCE
WI
Enumeration date
05/05/2006
Last updated
08/31/2021
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