Provider Demographics
NPI:1508810144
Name:TOMASI, JANE ELIZABETH BREZINSKI (APNP)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:ELIZABETH BREZINSKI
Last Name:TOMASI
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Gender:F
Credentials:APNP
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Mailing Address - Street 1:9200 W WISCONSIN AVE
Mailing Address - Street 2:DIVISION OF NEPHROLOGY
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3522
Mailing Address - Country:US
Mailing Address - Phone:414-805-3100
Mailing Address - Fax:414-805-9059
Practice Address - Street 1:9200 W WISCONSIN AVE
Practice Address - Street 2:DIVISION OF NEPHROLOGY
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3522
Practice Address - Country:US
Practice Address - Phone:414-805-3100
Practice Address - Fax:414-805-9059
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2015-05-11
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Provider Licenses
StateLicense IDTaxonomies
WI1942-033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1508810144Medicaid
WI1508810144Medicaid
WI736011622Medicare PIN