Individual provider · Type 1 NPI
Breonte Nicole Johnson
Critical Access Hospital Clinic/Center · Milwaukee, WI
NPI number
1780465690
Active
Practice location
3237 S 16th St
Milwaukee, WI 53215-4526
Mailing address
4244 N 27th St Apt 2
Milwaukee, WI 53216-1866
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Access Hospital Clinic/Center Primary | 261QC0050X | None listed |
Critical Access Hospital Clinic/Center: An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
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About NPI 1780465690
Breonte Nicole Johnson's National Provider Identifier is 1780465690, issued on Oct 9, 2023. The primary taxonomy on file is Critical Access Hospital Clinic/Center (261QC0050X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 9, 2023.