Gendron, Breanne Terese

Gendron, Breanne Terese is an individual health care provider with primary practice located at 323 S 18Th Ave , Sturgeon Bay WI 54235-1401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gendron, Breanne Terese can be contacted via phone (920) 746-0510.

Contact Information

Primary practice address
323 S 18Th Ave Sturgeon Bay WI 54235-1401
Phone: (920) 746-0510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704286858 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10871-33 Wisconsin

Profile Details

NPI number 1528685583
LBN Legal business name Gendron, Breanne Terese
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2020
Last updated Jun 1st, 2021 - about 5 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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