Individual
MS. BARBARA A PESOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6700
(920) 433-6719
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
2077-033
WI
363LF0000X
Family Nurse Practitioner
Primary
2077-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0286129
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
08/23/2006
Last updated
11/29/2022
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