Individual
MRS. KATHERINE MARY VANDER ZANDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1580 COMMANCHE AVE, GREEN BAY, WI 54313-5751
(920) 435-8326
Mailing address
2926 SANIBEL DR, DE PERE, WI 54115-7708
(920) 851-2368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8492-33
WI
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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