Brouillard, Amalia A

Brouillard, Amalia A is an individual health care provider with primary practice located at 3200 Pleasant Valley Rd , West Bend WI 53095-9274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brouillard, Amalia A can be contacted via phone (262) 836-7300.

Contact Information

Primary practice address
3200 Pleasant Valley Rd West Bend WI 53095-9274
Phone: (262) 836-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7662-33 Wisconsin

Profile Details

NPI number 1407378086
LBN Legal business name Brouillard, Amalia A
Credentials FNP B-C, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2017
Last updated Apr 24th, 2019 - about 5 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.

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