Klotz, Brianna
Klotz, Brianna is an individual health care provider with primary practice located at 1716 Lawrence Dr Ste 100 , De Pere WI 54115-9108. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Klotz, Brianna can be contacted via phone (920) 605-3115.Contact Information
Primary practice address
1716 Lawrence Dr Ste 100
De Pere WI 54115-9108
Phone: (920) 605-3115
Fax: (920) 486-6826
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 168292-30 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9325-33 | Wisconsin |
Profile Details
NPI number | 1851954267 |
---|---|
LBN Legal business name | Klotz, Brianna |
Credentials | DNP, APNP, FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2019 |
Last updated | Jun 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851954267 | NPPES |
Wisconsin | MEDICAID | 100091329 |
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