Bruder, Stephanie

Bruder, Stephanie is an individual health care provider with primary practice located at W180N8085 Town Hall Rd , Menomonee Falls WI 53051-3518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bruder, Stephanie can be contacted via phone (262) 251-1000.

Contact Information

Primary practice address
W180N8085 Town Hall Rd Menomonee Falls WI 53051-3518
Phone: (262) 251-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6836-33 Wisconsin

Profile Details

NPI number 1780034876
LBN Legal business name Bruder, Stephanie
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2016
Last updated Jan 23rd, 2019 - about 7 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 1780034876 NPPES
Wisconsin MEDICAID 1780034876

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