Individual
KATHRYN GRACE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2714 RIVERVIEW DR, GREEN BAY, WI 54313-6715
(920) 430-4760
(920) 430-4774
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
138209-30
WI
363LF0000X
Family Nurse Practitioner
Primary
5881-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0714353
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
07/09/2014
Last updated
12/31/2019
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