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

Tira Brust

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861333254

Tira Brust is a Student in an Organized Health Care Education/Training Program in Mequon, Wisconsin. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

12800 N Lake Shore Dr
Mequon, WI 53097-2418
Phone: (262) 243-5700
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1861333254
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 1, 2026
Mailing address101 S Tower Ln, Saukville, WI 53080-2502

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