Provider Demographics
NPI:1730071283
Name:PINGEL, BRIAH MARIE (AANP, FNP-C)
Entity type:Individual
Prefix:
First Name:BRIAH
Middle Name:MARIE
Last Name:PINGEL
Suffix:
Gender:F
Credentials:AANP, FNP-C
Other - Prefix:
Other - First Name:BRIAH
Other - Middle Name:MARIE
Other - Last Name:EBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W7615 WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:SHAWANO
Mailing Address - State:WI
Mailing Address - Zip Code:54166-6013
Mailing Address - Country:US
Mailing Address - Phone:715-851-4416
Mailing Address - Fax:
Practice Address - Street 1:W12802 COUNTY ROAD A
Practice Address - Street 2:
Practice Address - City:BOWLER
Practice Address - State:WI
Practice Address - Zip Code:54416-9551
Practice Address - Country:US
Practice Address - Phone:715-793-5082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17110-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily