Individual
MARCY L GODLEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 432-6016
Mailing address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5070
WI
363L00000X
Nurse Practitioner
5070-30
WI
Other
Enumeration date
10/05/2012
Last updated
04/08/2022
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