Individual
CONSTANCE HUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1381 W MASON ST, GREEN BAY, WI 54303-2022
(920) 430-1350
(920) 430-1360
Mailing address
1201 MAIN STREET, OCONTO, WI 54153
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6338-33
WI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
6338-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11700400
—
WI
Enumeration date
07/26/2006
Last updated
02/28/2020
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