Individual
BROOKE L WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-3388
(920) 288-3370
Mailing address
164 N BROADWAY, GREEN BAY, WI 54303-2728
(920) 965-4055
(920) 405-5388
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
120373
WI
367500000X
Certified Registered Nurse Anesthetist
R-154929-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300457100
—
MN
05
—
44346700
—
WI
01
—
P00301445
RAILROAD
WI
Enumeration date
01/04/2006
Last updated
09/09/2015
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