Provider Demographics
NPI:1356629489
Name:SCHLOUGH, BRANDI RAE (RN)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:RAE
Last Name:SCHLOUGH
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:E2555 STATE ROAD 29
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-5200
Mailing Address - Country:US
Mailing Address - Phone:715-235-8921
Mailing Address - Fax:
Practice Address - Street 1:E2555 STATE ROAD 29
Practice Address - Street 2:
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-5200
Practice Address - Country:US
Practice Address - Phone:715-235-8921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI169297-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse