Individual
ROSEANN M. DICHRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1821 S WEBSTER AVE, VASCULAR SURGERY, GREEN BAY, WI 54301-2253
(920) 431-1941
Mailing address
143 PICKARD CIR, GREEN BAY, WI 54301-1937
(920) 432-6665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1340-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43848400
—
WI
Enumeration date
06/02/2009
Last updated
12/15/2009
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