Individual
JAMES BODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
(920) 431-2500
Mailing address
2851 UNIVERSITY AVE, GREEN BAY, WI 54311-5855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242441
WI
363LF0000X
Family Nurse Practitioner
F06201277
WI
Other
Enumeration date
06/16/2020
Last updated
06/19/2020
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