Fawcett, Audrey Brooke
Fawcett, Audrey Brooke 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 / Physician Assistant, which is considered as her primary health care specialty. Fawcett, Audrey Brooke 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:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7469-23 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10003168A | Indiana |
Profile Details
| NPI number | 1508455247 |
|---|---|
| LBN Legal business name | Fawcett, Audrey Brooke |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2021 |
| Last updated | Aug 30th, 2023 - 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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