Individual
HOLLY ANN THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
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
363LF0000X
Family Nurse Practitioner
Primary
14219-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100247672
—
WI
Enumeration date
07/13/2023
Last updated
01/18/2024
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