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Contact Information

NINA S BREDEHORN, MSN, APNP, CPNP, PMH
10303 N PORT WASHINGTON RD
SUITE 203
MEQUON, WI53092-5760
 Phone: 262-241-5955
 Fax: 262-241-5926
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for NINA S BREDEHORN · (Female)

NPI # 1144570433
Status Active
Credentials MSN, APNP, CPNP, PMH
Entity Individual
Enumeration date 09/13/2012
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 170295-30
  • WI License # 4971-33
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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