Provider Demographics
NPI:1164097754
Name:BREUER, APRIL LEE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LEE
Last Name:BREUER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:LEE
Other - Last Name:KITZINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2685 HOWARD CMNS APT 6
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54313-9380
Mailing Address - Country:US
Mailing Address - Phone:262-224-6354
Mailing Address - Fax:
Practice Address - Street 1:835 S VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54301-3526
Practice Address - Country:US
Practice Address - Phone:920-433-0111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-25
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WI172701367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program