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CATHLEEN O BRAZILE
600 N WESTHAVE DR OSHKOSH WI 549046926
CATHLEEN O BRAZILE is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1679680474. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3779653886. The primary specialty is NURSE PRACTITIONER. The organization is THEDACARE, INCORPORATED. The address is 600 N WESTHAVE DR, , OSHKOSH, WI, 549046926. The zip code is 549046926.
|Nation Provider ID||1679680474|
|PAC ID by PECOS||3779653886|
|Professional Enrollment ID||I20160201000275|
|Name||CATHLEEN O BRAZILE|
|Medical School Name||OTHER|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||THEDACARE, INCORPORATED|
|Group Practice PAC ID||1759294887|
|Number of Group Practice members||127|
|Address||600 N WESTHAVE DR, , OSHKOSH, WI, 549046926|
|Hospital affiliation LBN|