Individual
BETHANY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200
Mailing address
W227N8213 TAMARACK RD, SUSSEX, WI 53089-1655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14525-33
WI
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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