Individual
KRISTINA ANN MORTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4700
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13278-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06221131
AMERICAN ACADEMY OF NURSE PRACTITIONER
—
Enumeration date
11/08/2022
Last updated
03/07/2023
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