Brazzale, Kristen A

Brazzale, Kristen A is an individual health care provider with primary practice located at 2920 Superior Ave , Sheboygan WI 53081-1944. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brazzale, Kristen A can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
2920 Superior Ave Sheboygan WI 53081-1944
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 246933 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2469-33 Wisconsin

Profile Details

NPI number 1851321483
LBN Legal business name Brazzale, Kristen A
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Oct 1st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851321483 NPPES
Wisconsin MEDICAID 41194400
Wisconsin MEDICAID 21280500

Popular Providers