Individual
VICKI LYNN HUTTERER TROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 272-3300
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10721-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100160704
—
WI
Enumeration date
02/09/2021
Last updated
01/18/2024
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