Individual
DR. BRIANNA KLOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP, FNP-BC
Contact information
Practice address
1716 LAWRENCE DR STE 100, DE PERE, WI 54115-9108
(920) 605-3115
(920) 486-6826
Mailing address
1716 LAWRENCE DR STE 100, DE PERE, WI 54115-9108
(920) 605-3115
(920) 486-6826
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168292-30
WI
363LF0000X
Family Nurse Practitioner
Primary
9325-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091329
—
WI
Enumeration date
04/22/2019
Last updated
06/12/2023
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