Brzakala, Christine Ann

Brzakala, Christine Ann is an individual health care provider with primary practice located at 1475 W Grand Ave , Port Washington WI 53074-2074. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brzakala, Christine Ann can be contacted via phone (262) 268-5100.

Contact Information

Primary practice address
1475 W Grand Ave Port Washington WI 53074-2074
Phone: (262) 268-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71008966A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4506-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 450633 Wisconsin

Profile Details

NPI number 1891074407
LBN Legal business name Brzakala, Christine Ann
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2011
Last updated May 3rd, 2023 - about last year

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 1891074407 NPPES
Wisconsin MEDICAID 100017022
Wisconsin MEDICAID 300025766

Popular Providers