Individual
KIMBERLY M MAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3640
(920) 433-3716
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A156623
IA
363LF0000X
Family Nurse Practitioner
Primary
31395-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F09190704
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
11/05/2019
Last updated
11/15/2022
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