Individual
LYNNETTE LEONA CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1715 DOUSMAN ST, GREEN BAY, WI 54303-3211
(920) 496-4700
(920) 496-4705
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
130862
WI
363LF0000X
Family Nurse Practitioner
Primary
1390
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43902300
—
WI
Enumeration date
07/12/2006
Last updated
09/15/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us