IndividualActive
Brendan Nashold, PA-C
NPI 1760433189 · Physician Assistant · Beaver Dam, WI
Provider details
- NPI number
- 1760433189
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 861-023 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
130 Corporate Dr
Beaver Dam, WI 53916-3116
Phone: (920) 877-3102
Fax: (920) 885-8790
Approximate (ZIP-level) locationGet directions
Mailing address
130 Corporate Dr
Beaver Dam, WI 53916-3116
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2021-02-11
- Certified
- 2021-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.