Most Relevant Information
Provider Data
| NPI Number: | 1003818857 |
| Provider Name: | BRENDA B. MITTELSTEADT BSN. FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1898 |
Most Important Dates
| Enumeration Date: | 08/11/2005 |
| Last Updated: | 02/03/2023 |
Provider Practice Location
4704 BAYBERRY ST
SCHOFIELD
WI
544766097
Practice Location Phone/Fax
| Phone: | 7158430366 |
| Fax: | 7153222084 |
Provider Mailing Location
4704 BAYBERRY ST
SCHOFIELD
WI
544766097
Provider Mailing Phone/Fax
| Phone: | 7158430366 |
| Fax: | 7153222084 |