Individual
MR. CHRIS EDWIN ANIBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN FNP
Contact information
Practice address
744 SOUTH WEBSTER AVENUE, GREEN BAY, WI 54305-3500
(920) 433-3500
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4931-33
WI
363LF0000X
Family Nurse Practitioner
R 186591-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R 186591-4
MN LICENSE
MN
Enumeration date
04/13/2010
Last updated
08/27/2018
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