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Contact Information

BREANNE VOGEL
1225 SOUTH GEAR AVENUE, SUITE 159
GREAT RIVER FAMILY PRACTICE CLINIC
WEST BURLINGTON, IA52655
 Phone: 319-754-4242
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BREANNE VOGEL · (Female)

NPI Number 1679920045
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2016
Last updated 07/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A119646
Hospital affiliation(s)
  • GREAT RIVER MEDICAL CENTER - (Acute Care)
    1221 SOUTH GEAR AVENUE
    WEST BURLINGTON, IA 52655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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