Individual
LISA K BRELLENTHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
507 W MAIN ST, WHITEWATER, WI 53190-1852
(262) 473-0400
(262) 473-0408
Mailing address
507 W MAIN ST, WHITEWATER, WI 53190-1852
(262) 473-0400
(262) 473-0408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4534-33
WI
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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