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Contact Information

KRYSTINE A BREEDLOVE, ACNPC-AG
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI54937-2999
 Phone: 920-907-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KRYSTINE A BREEDLOVE · (Female)

NPI Number 1376146910
Status Active
Credentials ACNPC-AG
Entity Individual
Enumeration date 11/17/2020
Last updated 02/24/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 249005
  • AZ License # RN201982
  • WI License # 17458-33
  • WI Medicaid 100390999
Hospital affiliation(s) Not Available
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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