| Doctor Name: | DENISE MARY BRILLIANT |
| NPI Number: | 1346314937 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 1391-033 |
| Business Practice Address: | 106 Mill St Reedsville, WI - 542301700 |
| Business Phone Number: | 9207544337 |
| Business Fax Number: | 9207544677 |
| Mailing Address: | 721 S 30th St, MANITOWOC |
| State: | WI |
| Postal Code: | 542204305 |
| Phone Number: | 9206827009 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 06/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 1391-033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |