Individual
AMBER L KORNELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1580 COMMANCHE AVE, GREEN BAY, WI 54313-5751
(920) 435-8326
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7226
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7880-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017003008
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
08/11/2017
Last updated
11/13/2024
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