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NPI Code Detail

MEDICARE: MRS. STEPHANIE BRESLOW APNP

MEDICARE: MRS. STEPHANIE BRESLOW APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner6009-33WI

General Provider Information

NPI Number : 1972904522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE BRESLOW APNP
Provider Business Mailing Address
First Line : 615 W MORELAND BLVD
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-2462
Country : US
Telephone Number : 262-896-8420
Fax Number : 262-896-8521
Provider Business Practice Location Address
First Line : 615 W MORELAND BLVD
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-2462
Country : US
Telephone Number : 262-896-8420
Fax Number : 262-896-8521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2014
Last Update Date : 12/16/2025

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Directions to “ MRS. STEPHANIE BRESLOW APNP” Practice Location

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