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Individual

PAMELA M PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3871-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3871
WI

Other

Enumeration date
10/12/2009
Last updated
08/24/2023
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