Individual provider · Type 1 NPI

Krystine Amber Breedlove, ACNPC-AG

Nurse Practitioner · Fond Du Lac, WI

NPI number 1376146910 Active

Practice location

210 Wisconsin American Dr
Fond Du Lac, WI 54937-2999

Call (920) 907-7500 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 14502 W Meeker Blvd, Sun City West, AZ 85375-5282 · (623) 524-8814
  • 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 · (623) 832-4728

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X249005 (AZ)
Nurse Practitioner Primary 363L00000X249005 (AZ)
Nurse Practitioner 363L00000X17458-33 (WI)
Registered Nurse 163W00000XRN201982 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

60 other providers at this address

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About NPI 1376146910

Krystine Amber Breedlove, ACNPC-AG's National Provider Identifier is 1376146910, issued on Nov 17, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Feb 24, 2026.