Ericson, Brooke Elizabeth
Ericson, Brooke Elizabeth is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ericson, Brooke Elizabeth can be contacted via phone (414) 646-6000.Contact Information
Primary practice address
2900 W Oklahoma Ave
Milwaukee WI 53215-4330
Phone: (414) 646-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Oncology | 163WX0200X | 200885-30 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 11384 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 11384 | Wisconsin |
Profile Details
| NPI number | 1194492637 |
|---|---|
| LBN Legal business name | Ericson, Brooke Elizabeth |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2021 |
| Last updated | Oct 6th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194492637 | NPPES |
| Wisconsin | MEDICAID | 100182756 |
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