Individual
MISS PATRICIA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 N MADISON ST, GREEN BAY, WI 54301-5103
(920) 492-0100
Mailing address
217 N MADISON ST, GREEN BAY, WI 54301-5103
(920) 492-0690
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-1999302
—
WI
Enumeration date
10/20/2014
Last updated
08/05/2016
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