Individual
PAM NILES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2641 DEVELOPMENT DR, GREEN BAY, WI 54311-4240
(920) 338-6868
(920) 338-6869
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2067-033
WI
Other
Enumeration date
05/05/2006
Last updated
09/05/2017
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