MALLORY BREIDERT FNP-BC NPI 1548095334

NPI Information

  • NPI: 1548095334
  • Provider Name: MALLORY BREIDERT, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 900 ILLINOIS AVE
    STEVENS POINT, WI
    ZIP 54481
  • Phone: (715) 346-5000

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NPI Details

Mallory Breidert, FNP-BC is a family nurse practitioner in Stevens Point, WI with 2 years of experience. Mallory Breidert, FNP-BC NPI is 1548095334. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 ILLINOIS AVE
STEVENS POINT, WI
ZIP 54481-114
Phone: (715) 346-5000

The NPI 1548095334 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/3/2024 and was last updated on 9/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily252198-30WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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