Heather Kay Brede
Technician, Attendant Care Provider in Port Washington, WI. Individual provider (NPI-1).
NPI number1962045864
StatusActive
Last updated in NPPESOct 23, 2019
Details
- NPI
- 1962045864
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Kay Brede
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2019
- Last updated
- Oct 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
857 Ashley AvenuePort Washington, WI 53074
Phone 262-355-6637
Mailing address
857 Ashley AvenuePort Washington, WI 53074
Phone 262-355-6637
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