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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1851954267 NPPES
Wisconsin MEDICAID 100091329

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