NPI
Tammy Breault
NPI 1902207012
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2014-09-08
- Last updated
- 2024-10-22
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Specialties
Licenses
- License WI
- 6219-125
Location
- Practice location
- 2367 Beede Lake Trl
- City
- Saint Croix Falls WI
- Postal code
- 54024-7931
- Phone
- (715) 553-0159
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Saint Croix Falls, WI. 186 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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