Individual
RENEE L BOHNART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
744 S. WEBSTER, GREEN BAY, WI 54305-3400
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
72019-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P 90110
UPIN
WI
Enumeration date
08/01/2008
Last updated
08/01/2008
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