Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brayden Whitman, APNP

Individual provider Family Nurse Practitioner · NPI 1790408391

Brayden Whitman, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022

Practice location Address checks out

886 Hubbard St
Green Bay, WI 54303-2973
Phone: (906) 280-9998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12166-33 (WI)

Record details

NPI number1790408391
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorYes
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateJuly 21, 2022
Mailing address886 Hubbard St, Green Bay, WI 54303-2973

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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