Individual
ANNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
800 LAKEFRONT WAY, TWO RIVERS, WI 54241-3301
(920) 320-2436
Mailing address
1478 GUNS RD, GREEN BAY, WI 54311-6008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07260257
WI
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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