Provider Demographics
NPI:1356458608
Name:BILGRIEN, BRITT E (NP)
Entity Type:Individual
Prefix:
First Name:BRITT
Middle Name:E
Last Name:BILGRIEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BRITT
Other - Middle Name:E
Other - Last Name:BUSHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:W63N545 HANOVER AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-1917
Mailing Address - Country:US
Mailing Address - Phone:262-421-5133
Mailing Address - Fax:
Practice Address - Street 1:W63N545 HANOVER AVE
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-1917
Practice Address - Country:US
Practice Address - Phone:262-421-5133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2773363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41279400Medicaid