Beau E Brackey, APNP
Nurse Practitioner, Family in Appleton, WI. Individual provider (NPI-1).
NPI number1659845238
StatusActive
Last updated in NPPESJul 19, 2023
Details
- NPI
- 1659845238
- Entity type
- Individual (NPI-1)
- Name
- Beau E Brackey
- Credential
- APNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2019
- Certification date
- Jul 19, 2023
- Last updated
- Jul 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 8970 | WI | Yes |
Practice location
2500 E Capitol Dr Ste 1700Appleton, WI 54911-8735
Phone 920-731-8131 · Fax 920-832-0444
Mailing address
2000 E Milestone DrAppleton, WI 54913-6701
Phone 920-731-8131 · Fax 920-832-0444
Other practice locations
710 Riverside Dr
Waupaca, WI 54981-1941
Waupaca, WI 54981-1941
Phone 715-256-3000 · Fax 715-256-3039
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