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Search › Wisconsin › 363L00000X

Krystine Breedlove, ACNPC-AG

NPI 1376146910 · on the registry since 2020

Practice

Address
210 Wisconsin American Dr
Fond Du Lac, WI 54937
Phone
(920) 907-7500
Organisation at this address
Lakeside Neurocare
Aurora Pharmacy Inc
Total Renal Care Inc
Aurora Medical Group, Inc.
Aurora Health Care Ventures Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
72

Additional practice sites

  • 14502 W Meeker Blvd, Sun City West, AZ
  • 10401 W Thunderbird Blvd, Sun City, AZ

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363LA2100X
363L00000X
163W00000X
Licence states on file
AZ, WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin