Individual provider · Type 1 NPI

Lisa Marie Brandt

Nurse Practitioner · Milwaukee, WI

NPI number 1629615570 Active

Practice location

2801 W Kinnickinnic River Pkwy Ste 680
Milwaukee, WI 53215-3633

Fax (414) 385-1899

Mailing address

12860 Pinewood Rd
Brookfield, WI 53005-3843

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9591-33 (WI)

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…

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About NPI 1629615570

Lisa Marie Brandt's National Provider Identifier is 1629615570, issued on Dec 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on Nov 24, 2021.