Vandoorn, Breana M

Vandoorn, Breana M is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904-7668. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Vandoorn, Breana M can be contacted via phone (920) 303-8700.

Contact Information

Primary practice address
855 N Westhaven Dr Oshkosh WI 54904-7668
Phone: (920) 303-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 157210-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 106908 Wisconsin

Profile Details

NPI number 1407220239
LBN Legal business name Vandoorn, Breana M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2015
Last updated Jul 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407220239 NPPES
Wisconsin MEDICAID 100052597

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