Healthcare Provider Details

I. General information

NPI: 1801577242
Provider Name (Legal Business Name): BRIANNA DUNN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNA MADER

II. Dates (important events)

Enumeration Date: 07/27/2023
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 O DAY ST
MERRILL WI
54452-3416
US

IV. Provider business mailing address

1000 N OAK AVE
MARSHFIELD WI
54449-5703
US

V. Phone/Fax

Practice location:
  • Phone: 715-539-0101
  • Fax:
Mailing address:
  • Phone: 715-387-5511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14171
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: