Individual
MICHELLE M CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3021 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 496-4700
(920) 496-4705
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 496-4705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
112375
WI
363L00000X
Nurse Practitioner
610
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43847600
—
WI
Enumeration date
07/12/2006
Last updated
09/11/2025
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