Breanna Rummelhoff
Individual provider Active NPI Licensed Practical Nurse · Darien, WI
NPI 1679965974 · NPPES record last updated Apr 12, 2022
Key facts
- NPI
- 1679965974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 315906-31 (WI)
- Practice address
- 551 Oak Ridge Dr
Darien, WI 53114-1577 - Phone
- (262) 210-0761
- NPI assigned
- Feb 23, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 315906-31 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 315906-31 | WI | Yes |
Addresses
Primary practice location
551 Oak Ridge Dr
Darien, WI 53114-1577
Mailing address
551 Oak Ridge Dr
Darien, WI 53114-1577
Other providers in Darien, WI
- Angela A Fox
- Hillary L Kreager
- Traci J Lebow
- Margaret Grace McGraw
- Sarah Rendon
- Hailey Elizabeth Sawtelle
- Meghan Carol Smith
- Chad Triscuit
- Village of Darien
All providers in Darien, WI · Licensed Practical 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 Apr 12, 2022. 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.