Individual
HANNAH SUE CRAANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
Mailing address
133 S 16TH PL, STURGEON BAY, WI 54235-1454
(920) 746-0726
(920) 746-0597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5656
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
5656-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167644-30
WI STATE RN LIC
WI
01
—
5656-33
WI STATE APNP LIC
WI
Enumeration date
02/13/2014
Last updated
11/24/2020
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