Individual
BREA A SORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301
(920) 433-3500
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200530-30
WI
363LF0000X
Family Nurse Practitioner
Primary
7767-33
WI
Other
Enumeration date
07/17/2017
Last updated
11/14/2019
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