Individual
CHRISTINE ANN BRZAKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1475 W GRAND AVE, PORT WASHINGTON, WI 53074-2074
(262) 268-5100
Mailing address
1475 W GRAND AVE, PORT WASHINGTON, WI 53074-2074
(262) 268-5100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4506-033
WI
363LF0000X
Family Nurse Practitioner
450633
WI
363LF0000X
Family Nurse Practitioner
71008966A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017022
—
WI
05
—
300025766
—
IN
Enumeration date
08/12/2011
Last updated
05/03/2023
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