Individual
ANGELA N DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-3388
(920) 288-3370
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 965-4055
(920) 405-5388
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
163276
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427287226
—
WI
Enumeration date
07/14/2009
Last updated
12/13/2021
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