Individual
JANET E REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3263 EATON RD, GREEN BAY, WI 54311-6830
(920) 433-6000
(920) 433-6009
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2509
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41194000
—
WI
Enumeration date
02/26/2007
Last updated
07/06/2020
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