Individual
ANDREA D GRANSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5337-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043642911
—
WI
Enumeration date
08/02/2013
Last updated
08/02/2021
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