GWENDOLYN MARIE BRAND (NPI# 1578972295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578972295 |
Entity Type | Individual |
Full Name | GWENDOLYN MARIE BRAND |
Credential | RN, APNP |
Practice Address |
1310 N 14th St Superior WI 54880-1712 |
Practice Telephone | 7153951246 |
Practice Fax Number | 7153957246 |
Mailing Telephone | 7153951246 |
Mailing Fax Number | 7153957246 |
Enumeration Date | 2014-08-06 |
Last Update Date | 2014-08-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 110845-1 | MN | Nursing Service Providers |
N | 163W00000X | Registered Nurse | 98259-030 | WI | Nursing Service Providers |
Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
2325-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1310 N 14TH ST |
City | SUPERIOR |
State | WI |
Zip Code | 54880-1712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
Find all providers in zip 54880 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053967091 | Kristina Strupp | Clinical Nurse Specialist | 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 | 2019-08-15 |
1265853634 | Benjamin Robert Singer | Clinical Nurse Specialist | 455 E Pleasant St Apt 603, Milwaukee, WI 53202-2695 | 2014-01-02 |
1033549423 | Matthew A Singer | Clinical Nurse Specialist | 407 9th Ave, Grafton, WI 53024-1155 | 2013-11-20 |
1396391629 | Diane Melrose | Clinical Nurse Specialist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2019-08-13 |
1427550011 | Stephanie Bruce | Clinical Nurse Specialist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2018-02-28 |
1285008474 | Evalyn Michira | Clinical Nurse Specialist | 333 Pine Ridge Blvd, Wausau, WI 54401-4120 | 2015-11-25 |
1578965745 | Michele Yurgil | Clinical Nurse Specialist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2014-09-19 |
1487053062 | Pamela J Vetter | Clinical Nurse Specialist | 215 N 28th Ave, Wausau, WI 54401-4100 | 2014-08-19 |
1295144608 | Shana Mcclone | Clinical Nurse Specialist | 5900 S Lake Dr, Cudahy, WI 53110-3171 | 2014-08-11 |
1013358787 | Connie Sue Mccullick | Clinical Nurse Specialist | 1836 South Ave, La Crosse, WI 54601-5429 | 2013-07-10 |
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.