Fawcett, Audrey Brooke

Fawcett, Audrey Brooke is an individual health care provider with primary practice located at 4805 S Moorland Rd , New Berlin WI 53151-7401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fawcett, Audrey Brooke can be contacted via phone (262) 798-7200.

Contact Information

Primary practice address
4805 S Moorland Rd New Berlin WI 53151-7401
Phone: (262) 798-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7469-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10003168A Indiana

Profile Details

NPI number 1508455247
LBN Legal business name Fawcett, Audrey Brooke
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2021
Last updated Aug 30th, 2023 - about 3 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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