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Individual

SAMANTHA J RIEHLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2280

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8501-33
WI
363LF0000X
Family Nurse Practitioner
8501-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100080519
WI
Enumeration date
07/23/2018
Last updated
08/15/2024
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