Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 0230478-06 | WI |
NPI | 1033203948 |
---|---|
Provider Name | Deborah Bretl |
First Address | Milwaukee, WI 53226-4874 |
Second Address | Milwaukee, WI 53201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 13/02/2019 |