Individual
MS. DANNA ANNE DERENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1580 COMMANCHE AVE, GREEN BAY, WI 54313-5751
(920) 435-8326
Mailing address
PO BOX 23400, GREEN BAY, WI 54305-3400
(920) 435-8326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13041-33
WI
363LF0000X
Family Nurse Practitioner
Primary
13041-33
WI
Other
Enumeration date
07/25/2022
Last updated
04/19/2024
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