Provider Demographics
NPI:1598807000
Name:BRIGHTMAN, MARSHA LYNN (FNP-C, APNP, RN, MSN)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:LYNN
Last Name:BRIGHTMAN
Suffix:
Gender:F
Credentials:FNP-C, APNP, RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N8807 MEADE ST
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:WI
Mailing Address - Zip Code:54971-9279
Mailing Address - Country:US
Mailing Address - Phone:920-748-7675
Mailing Address - Fax:
Practice Address - Street 1:1 W LINCOLN ST
Practice Address - Street 2:
Practice Address - City:WAUPUN
Practice Address - State:WI
Practice Address - Zip Code:53963-1949
Practice Address - Country:US
Practice Address - Phone:920-324-6484
Practice Address - Fax:920-324-6288
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI65085-030163WP2201X
WI2246-033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily