Individual
KIMBERLY A VANDE HEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311
(920) 288-8377
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4460
WI
363L00000X
Nurse Practitioner
Primary
4660
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100019547
—
WI
Enumeration date
12/06/2011
Last updated
01/22/2024
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