Provider Demographics
NPI:1720414410
Name:BREUER, CINDI ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CINDI
Middle Name:ANN
Last Name:BREUER
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 1:8784 CTY RD V V
Mailing Address - Street 2:
Mailing Address - City:GLEN HAVEN
Mailing Address - State:WI
Mailing Address - Zip Code:53810
Mailing Address - Country:US
Mailing Address - Phone:608-794-2295
Mailing Address - Fax:
Practice Address - Street 1:8784 COUNTY ROAD VV
Practice Address - Street 2:
Practice Address - City:GLEN HAVEN
Practice Address - State:WI
Practice Address - Zip Code:53810-9715
Practice Address - Country:US
Practice Address - Phone:608-794-2295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI74616-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse