Doctor Name: | SHERRI ANN BRANDENBURG |
NPI Number: | 1760451397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | |
Business Practice Address: | 901 W Ann St Kaukauna, WI - 541303881 |
Business Phone Number: | 9207597445 |
Business Fax Number: | 9207597450 |
Mailing Address: | 901 W Ann St, KAUKAUNA |
State: | WI |
Postal Code: | 541303881 |
Phone Number: | 9207597445 |
Fax Number: | 9207597450 |
NPI Enumeration Date: | 03/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |