Individual
JUDITH H EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
(920) 433-7932
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1685-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43919900
—
WI
Enumeration date
04/19/2006
Last updated
09/11/2015
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