Individual
MIRANDA MARIE HINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-7457
(920) 433-7453
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6830-33
WI
363LA2200X
Adult Health Nurse Practitioner
6830-33
WI
Other
Enumeration date
03/03/2016
Last updated
09/16/2019
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