Individual
LOUISE A BERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP C
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7226
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1484 033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43899000
—
WI
Enumeration date
09/30/2005
Last updated
12/15/2015
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