Provider Demographics
NPI:1265867196
Name:REDDEMANN, BRITTANY (RN)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:REDDEMANN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E 4347 STATE HWY 54
Mailing Address - Street 2:
Mailing Address - City:ALGOMA
Mailing Address - State:WI
Mailing Address - Zip Code:54201
Mailing Address - Country:US
Mailing Address - Phone:920-255-5060
Mailing Address - Fax:
Practice Address - Street 1:E4347 STATE HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:ALGOMA
Practice Address - State:WI
Practice Address - Zip Code:54201-9720
Practice Address - Country:US
Practice Address - Phone:920-255-5060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI196085-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse