NPI 1083563878

Breanna Marie McMullen

Practitioner Adult Care Home Facility Lancaster, WI

Practice location

Address: 12218 County Road K, Lancaster, WI 53813-9552
Phone: (608) 482-4631

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 0021531 (WI)

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Registry record

NPI: 1083563878
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2026
Record last updated: 24 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.