Individual
RANDI MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2641 DEVELOPMENT DRIVE, GREEN BAY, WI 54311
(920) 338-6868
(920) 338-6869
Mailing address
PO BOX 5277, DE PERE, WI 54115-5277
(920) 338-6868
(920) 338-6869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
115033
WI
Other
Enumeration date
05/03/2006
Last updated
08/24/2009
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