Brandy Houman
Individual provider Active NPI Nurse's Aide · Milltown, WI
NPI 1134550676 · NPPES record last updated Dec 10, 2013
Key facts
- NPI
- 1134550676
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- NA348122 (WI)
- Practice address
- 1249 County Road G # G
Milltown, WI 54858-2916 - Phone
- (715) 808-2650
- NPI assigned
- Dec 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA348122 | WI | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA348122 | WI | Yes |
Addresses
Primary practice location
1249 County Road G # G
Milltown, WI 54858-2916
Mailing address
1249 County Road G
Milltown, WI 54858-2916
Phone (715) 808-2650
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA348122 | Other | WI | WISCONSIN NURSE AIDE REGISTRY |
Other providers in Milltown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.