Individual
WHITNEY C RECLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1602 STEINER LN, GREEN BAY, WI 54313-8482
(920) 857-7564
Mailing address
1602 STEINER LN, GREEN BAY, WI 54313-8482
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11679-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11679-33
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2021
Last updated
04/09/2024
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