Healthcare Provider Details

I. General information

NPI: 1265867196
Provider Name (Legal Business Name): BRITTANY NEVEAU APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2013
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 S WEBSTER AVE
GREEN BAY WI
54301-3505
US

IV. Provider business mailing address

2540 EVENING STAR CT
GREEN BAY WI
54311-5028
US

V. Phone/Fax

Practice location:
  • Phone: 920-433-7451
  • Fax:
Mailing address:
  • Phone: 920-255-5060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18711-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number196085-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: