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Individual

MS. ABBEY J MARAKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1630 COMMANCHE AVE, GREEN BAY, WI 54313-5753
(920) 430-4780
(920) 430-4787
Mailing address
PO BOX 23400, 744 SOUTH WEBSTER AVE, GREEN BAY, WI 54305-2253

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1606674
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4081-33
WI
367A00000X
Advanced Practice Midwife
148841
WI

Other

Enumeration date
05/19/2010
Last updated
06/05/2024
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