Perry-Brye, Gwendolyn M

Perry-Brye, Gwendolyn M is an sole proprietor health care provider with primary practice located at 8600 Sheridan Rd Ste 600 , Kenosha WI 53143-6515. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Perry-Brye, Gwendolyn M can be contacted via phone (262) 605-6700.

Contact Information

Primary practice address
8600 Sheridan Rd Ste 600 Kenosha WI 53143-6515
Phone: (262) 605-6700
Fax: (262) 605-6715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 486-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 486-033 Wisconsin

Profile Details

NPI number 1568459568
LBN Legal business name Perry-Brye, Gwendolyn M
Credentials RNC, MS, WHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Nov 6th, 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 1568459568 NPPES
Wisconsin MEDICAID 4385700

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