Individual
PAMELA LYNN WAISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
442 ALPINE DR, GREEN BAY, WI 54302-5199
(920) 391-2419
Mailing address
421 S FOX CROFT DR, DE PERE, WI 54115-2439
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
149294-30
WI
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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