Denise Mary Brilliant in Green Bay - Family
Denise Mary Brilliant - NPI 1346314937
Denise Mary Brilliant is a Family in Green Bay, Wisconsin. Denise Mary Brilliant practices all healthcare services and medical treatments related to Family. The NPI Number for Denise Mary Brilliant is 1346314937. The last update date is 2019-03-26.
Denise Mary Brilliant's current location address is 744 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204457226 and fax number 9204457229. The mailing address for Denise Mary Brilliant is 744 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denise Mary Brilliant |
|---|---|
| Address | 744 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9204457226 |
| Fax Number | 9204457229 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1346314937 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2019-03-26 |
Provider Mailing Address Detail
| Address | 744 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543013505 |
| Phone Number | 9204457226 |
| Fax Number | 9204457229 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1391-033 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43900300 | WI | -- |
Post Comment/ Review Below
What is the Denise Mary Brilliant's unique identification number?
The Denise Mary Brilliant has been assigned the NPI (National Provider Identifier) Number 1346314937 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Denise Mary Brilliant's facilities are geographically located?
The facilities of Denise Mary Brilliant are physically situated at the following location: 744 S Webster Ave, Green Bay, WI, 543013505.
What is the area of specialization for Denise Mary Brilliant, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Denise Mary Brilliant is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346314937 to Denise Mary Brilliant?
The Centers for Medicare & Medicaid Services assigned the 1346314937 to Denise Mary Brilliant on 2006-11-17.
As of what date were the details related to Denise Mary Brilliant most recently updated or revised?
The information pertaining to Denise Mary Brilliant, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-26.
NPI Number: 1528061793
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