Doctor Name: | MRS. MARSHA LYNN BRIGHTMAN |
NPI Number: | 1598807000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C, APNP, RN, MSN |
License Number: | 65085-030 |
Business Practice Address: | 1 W Lincoln St Waupun, WI - 539631949 |
Business Phone Number: | 9203246484 |
Business Fax Number: | 9203246288 |
Mailing Address: | N8807 Meade St, RIPON |
State: | WI |
Postal Code: | 549719279 |
Phone Number: | 9207487675 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | 65085-030 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |