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Breonte Nicole Johnson
Critical Access Hospital Clinic/Center in Milwaukee, Wisconsin
NPI 1780465690

Breonte Nicole Johnson is a Critical Access Hospital Clinic/Center based in Milwaukee, WI and is specialized in Critical Access Hospital. Breonte Nicole Johnson practices in Milwaukee, WI. The NPI Number for Breonte Nicole Johnson is 1780465690 and holds a License No. (Wisconsin).

The current practice location address for Breonte Nicole Johnson is 3237 S 16Th St, Milwaukee, WI and can be reached out via phone at 414-647-3995.

Location: 3237 S 16Th St, Milwaukee, WI, 53216-1866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780465690
Provider Name
Breonte Nicole Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3237 S 16Th St, Milwaukee, WI, 53216-1866
Phone Number
414-647-3995
Fax Number
Provider Enumeration Date
10/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3237 S 16Th St
City
Milwaukee
State
Wisconsin
Zip
53215-4526
Phone Number
414-647-3995
Fax Number
person
Provider Business Mailing Address Details
Address
3237 S 16Th St
City
Milwaukee
State
Wisconsin
Zip
53215-4526
Phone Number
414-647-3995
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Critical Access Hospital
Taxonomy
261QC0050X
License No.
()
Definition
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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