Individual
DEBRA L BENISHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1496 BELLEVUE ST, SUITE 101, GREEN BAY, WI 54311-4205
(920) 784-2644
(920) 784-2655
Mailing address
1499 6TH ST, GREEN BAY, WI 54304-2252
(920) 497-6161
(920) 498-0476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
67884
WI
363LF0000X
Family Nurse Practitioner
1826
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1826
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43600800
—
WI
Enumeration date
07/18/2006
Last updated
11/19/2020
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