BRITTANY WALCZYK (NPI# 1326525049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326525049 |
Entity Type | Individual |
Full Name | BRITTANY WALCZYK |
Credential | DNP, APNP, FNP-BC |
Practice Address |
2710 Executive Drive Green Bay WI 54307 |
Mailing Address |
1118 S Neenah Ave Sturgeon Bay WI 54235 |
Practice Telephone | 9207465093 |
Mailing Telephone | 9204964700 |
Enumeration Date | 2018-07-25 |
Last Update Date | 2019-10-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 196513 | WI | Nursing Service Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
8535 | WI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LS0200X |
Nurse Practitioner Specialization: School |
196513 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2710 EXECUTIVE DRIVE |
City | GREEN BAY |
State | WI |
Zip Code | 54307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295128239 | Amanda Bachman | Nurse Practitioner | 1821 S Webster Avenue, Green Bay, WI 54307 | 2015-03-16 |
1528259397 | Venkata Ravi Kiran Kadipi Reddy | Family Medicine | 2793 Lineville Road, Green Bay, WI 54307 | 2007-08-07 |
1255526455 | Tasha Joy Malvitz | Speech-Language Pathologist | 1673 Dousman Street, Green Bay, WI 54307-2770 | 2007-09-11 |
1649292772 | Sherri Claire Szczepanski | Registered Nurse | 1727 Shawano Ave., Prevea Health, Green Bay, WI 54307-3008 | 2006-07-25 |
1063423200 | Jonathan William Strom | Pharmacist | 744 South Webster Ave, Green Bay, WI 54307-3400 | 2006-08-11 |
1598743239 | Theresa Marie Shuck | Counselor | 835 South Vanburen Street, St. Vincent Hospital- Women's Services, Green Bay, WI 54307-3508 | 2006-01-04 |
1992122485 | Stephanie Julius | Nurse Practitioner | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2014-03-24 |
1922271907 | Kelechi Ngozi Chiori-omotoso | Hospitalist | 835 S Van Buren St, Green Bay, WI 54307-3508 | 2008-04-10 |
1659467595 | Brenda J Chaet | Occupational Therapist | 835 South Vanburen Street, Green Bay, WI 54307-3508 | 2006-10-05 |
1184602633 | Sumedha Ghate | Genetic Counselor, MS | 835 S Van Buren St, St. Vincent Hospital - Genetics Clinic, Green Bay, WI 54307-3508 | 2006-01-05 |
Find all providers in zip 54307 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
1427678176 | Cody Cameron Brunet | Nurse Practitioner | 1002 Bultman Rd, Madison, WI 53704-8933 | 2020-04-23 |
1023643434 | Rochelle Allexia Codlyn | Nurse Practitioner | 2268 Manley Dr, Sun Prairie, WI 53590-9688 | 2020-03-05 |
1861953960 | Youa Thao | Nurse Practitioner | 132 Devonshire Ct Apt 2, Plover, WI 54467-4194 | 2019-03-29 |
1053886465 | Elizabeth A Jarecki | Nurse Practitioner | 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612 | 2018-10-11 |
1669862868 | Jami Marie Lyons | Nurse Practitioner | 234 Cashman Dr, Chippewa Falls, WI 54729-3543 | 2015-01-27 |
1619374816 | Melissa Kaye Miller | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190-1121 | 2014-12-03 |
1275703233 | Mary Ellen Devine Touhey | Nurse Practitioner | N79w28630 Appaloosa Ln, Hartland, WI 53029-9038 | 2008-03-06 |
1366636797 | Karen R. Sinnett | Nurse Practitioner | 125 W Nebraska St, Muscoda, WI 53573 | 2007-08-29 |
1508851239 | Rita Marie Thomas | Nurse Practitioner | 910 Fremont St, 217 Delzell Hall, Uwsp, Stevens Point, WI 54481-3105 | 2005-09-19 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.