BRIANNA WING (NPI# 1578101762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578101762 |
| Entity Type | Individual |
| Full Name | BRIANNA WING |
| Credential | WHNP, RN |
| Practice Address |
N6520 Lumberjack Guy Rd Black River Falls WI 54615-5405 |
| Practice Telephone | 7152849851 |
| Mailing Telephone | 5129449347 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2335343 | MA | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
10171-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN BOARD OF NURSING | 10171-33 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235605213 | Brianna L Wing | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2018-10-17 |
| Street Address |
N6520 LUMBERJACK GUY RD |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871519579 | Charles Lau | Dentist | N6520 Lumberjack Guy Rd, Dept of Health, Black River Falls, WI 54615-5405 | 2006-07-14 |
| 1538794284 | Jennifer Lynn Hastings | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2020-03-03 |
| 1922565803 | Hussein Cheikhali | Pharmacist | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-02-27 |
| 1710442892 | Valerie Miranda Carrimon | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2019-02-04 |
| 1437636735 | Michelle Lee Schoolcraft | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 | 2018-07-19 |
| 1689114712 | Trisha A Jacox | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-03-08 |
| 1437698966 | Serena Jahnke-berg | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-02-16 |
| 1205371846 | Fawnah W Bish | Registered Nurse | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2017-01-05 |
| 1356704787 | Rachel Marie Lundberg | Optometrist | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2016-04-02 |
| 1881052694 | Curtis Tindall | Counselor | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 | 2016-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103570 | Denyse F Jackson | Nurse Practitioner | 65 S Elm St, Platteville, WI 53818-3107 | 2019-09-19 |
| 1043668528 | Linda Helen Watson | Nurse Practitioner | 1828 E Main St, Suite 10, Onalaska, WI 54650-8780 | 2016-05-25 |
| 1033447594 | Wise Woman Wellness LLC | Nurse Practitioner | 1480 Swan Rd, De Pere, WI 54115-7966 | 2009-11-20 |
| 1457585721 | Laura Elizabeth Kwitek | Nurse Practitioner | 5543 E. Cheryl Parkway, Fitchburg, WI 53711 | 2009-05-14 |
| 1326210626 | Diane Marie Rundle | Nurse Practitioner | 96 Stoddart St, Beaver Dam, WI 53916-1306 | 2008-03-26 |
| 1730381401 | Margaret Mary Robertson | Nurse Practitioner | 3706 Orin Road, Madison, WI 53704 | 2007-06-04 |
| 1194939918 | Deirdre Vyvyan Fowler | Nurse Practitioner | 1710 S 7th St, Milwaukee, WI 53204-3538 | 2007-05-10 |
| 1194848903 | Britt Lapreil Wanta | Nurse Practitioner | 416 W Mifflin St, Madison, WI 53703-2502 | 2007-04-08 |
| 1538202262 | Pamela Charlene Prince | Nurse Practitioner | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2007-02-14 |
| 1568508695 | Donna Lee Hays | Nurse Practitioner | 1015 Burbank Ave, Janesville, WI 53546-6154 | 2007-01-29 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
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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.