Individual
MS. MARY E ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2253 W MASON ST, #200, GREEN BAY, WI 54303-4706
(920) 327-7300
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1064-033
WI
363L00000X
Nurse Practitioner
85012-030
WI
Other
Enumeration date
08/24/2006
Last updated
12/03/2021
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