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Individual

BRIANA LOUISE GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1970 S RIDGE RD, GREEN BAY, WI 54304-4125
(920) 430-4888
(920) 430-4889
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9548-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F07191609
AMERICAN ACADEMY OF NURSE PRACTITIONERS
Enumeration date
09/09/2019
Last updated
08/04/2023
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