Individual
ANDREA BROOKE BUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2060 BELLEVUE ST, GREEN BAY, WI 54311-5622
(920) 965-0606
(920) 965-0607
Mailing address
2060 BELLEVUE ST, GREEN BAY, WI 54311-5622
(920) 965-0606
(920) 965-0607
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
13663-33
WI
363LF0000X
Family Nurse Practitioner
Primary
13663-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13663-33
STATE LICENSE
WI
Enumeration date
02/28/2023
Last updated
08/09/2024
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