Individual
CHINENYE VIVIAN EZEMBAMALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1860 SHAWANO AVE, GREEN BAY, WI 54303-2667
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17814-33
WI
363L00000X
Nurse Practitioner
Primary
263357
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100405772
—
WI
Enumeration date
11/12/2025
Last updated
07/08/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up