Individual provider Active NPI

Brittany Amborn, APNP

  • Primary Care Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1669349809
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
17201-33 Issued in WI
Practice address
1712 Delrae CT
Eau Claire, WI 54703-1801
Phone
(855) 485-1878
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203002289 WI Order and Referring Only - Nurse Practitioner 8426541939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17201-33WIMDPrimary Care Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 17201-33 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

1712 Delrae CT
Eau Claire, WI 54703-1801

Mailing address

1712 Delrae CT
Eau Claire, WI 54703-1801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2025.

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1669349809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 DELRAE CT",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 DELRAE CT",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547031801",
            "telephone_number": "855-485-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBORN",
        "first_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "17201-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.