Individual provider · Type 1 NPI
Brenda M. Veldboom, NP
Nurse Practitioner · Random Lake, WI
Practice location
110 Butler St
Random Lake, WI 53075-1708
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other practice locations
- 1001 Service Rd, Kiel, WI 53042-1295 · (920) 849-7620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3202-033 (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…
Another provider at this address
About NPI 1992990667
Brenda M. Veldboom, NP's National Provider Identifier is 1992990667, issued on Sep 6, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Random Lake, WI. The record was last updated on Sep 16, 2025.