Provider Demographics
NPI:1548592629
Name:BREBER, CINDY MARIA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:MARIA
Last Name:BREBER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21875 FOXHAVEN RUN
Mailing Address - Street 2:APARTMENT #8
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-1839
Mailing Address - Country:US
Mailing Address - Phone:262-352-4755
Mailing Address - Fax:
Practice Address - Street 1:21875 FOXHAVEN RUN
Practice Address - Street 2:APARTMENT #8
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-1839
Practice Address - Country:US
Practice Address - Phone:262-352-4755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI311594-031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse