Breann Paige Adam, R.N.
Individual provider Active NPI Registered Nurse · West Allis, WI
NPI 1598026155 · NPPES record last updated Jan 27, 2015
Key facts
- NPI
- 1598026155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 183686-30 (WI)
- Practice address
- 1970 S 84TH St
West Allis, WI 53227-1702 - Phone
- (262) 617-3154
- NPI assigned
- May 30, 2012
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183686-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 183686-30 | WI | Yes |
Addresses
Primary practice location
1970 S 84TH St
West Allis, WI 53227-1702
Mailing address
1970 S 84TH St
West Allis, WI 53227-1702
Phone (262) 617-3154
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163W00000X | Medicaid | WI |
Other names
- Breann Page Waarvik
Other providers in West Allis, WI
- Omnya Abdelrahman
- Rasha Abou-Romia
- Joseph Michael Abraham
- Accentcare Medical Group of Wisconsin, S.C.
- Act Counseling Inc
- Alan David Adams
- Albert Henry Adams
- Inez Adams
- Addiction Services and Pharmacotherapy, SC
- Adekunle Adesokan
All providers in West Allis, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2015. 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.