Individual
MARIE L HABELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3021 VOYAGER DR, GREEN BAY, WI 54311-8303
(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
9005-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090647
—
WI
Enumeration date
01/28/2019
Last updated
12/20/2024
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