Brueck, Nicole L

Brueck, Nicole L is an individual health care provider with primary practice located at 4805 S Moorland Rd , New Berlin WI 53151-7401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brueck, Nicole L can be contacted via phone (262) 798-7200.

Contact Information

Primary practice address
4805 S Moorland Rd New Berlin WI 53151-7401
Phone: (262) 798-7200
Fax: (262) 798-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 158415 Wisconsin

Profile Details

NPI number 1679810857
LBN Legal business name Brueck, Nicole L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Aug 16th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679810857 NPPES
Wisconsin MEDICAID 1679810857

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