Individual
LAUREL L DENHEIJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
923 ELIZA ST, GREEN BAY, WI 54301-3234
(920) 965-4800
(920) 965-4801
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1597003
WI
363LF0000X
Family Nurse Practitioner
Primary
1597-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0342125
AMERICAN NURSES CREDENTIALING CENTER
—
05
—
43983000
—
WI
Enumeration date
09/13/2006
Last updated
04/20/2020
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