Healthcare Provider Details

I. General information

NPI: 1932077336
Provider Name (Legal Business Name): BRITTNY PEDRONI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 S MADISON ST
APPLETON WI
54915-1800
US

IV. Provider business mailing address

2715 SUPERIOR AVE
SHEBOYGAN WI
53081-2046
US

V. Phone/Fax

Practice location:
  • Phone: 920-730-4435
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number8544
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number854423
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: