Individual
LORI MINTEN-VERHEYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
PO BOX 13508, GREEN BAY, WI 54307-3508
(920) 433-0111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4698-33
WI
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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