Individual
LOIS SKRIVANIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2640 WEST POINT RD, GREEN BAY, WI 54304
(920) 490-3790
(920) 490-3845
Mailing address
2640 WEST POINT RD, GREEN BAY, WI 54304
(920) 490-3845
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
63080-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63080-030
STATE OF WISCONSIN
WI
Enumeration date
06/18/2009
Last updated
06/18/2009
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