Individual
G. LYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
825 CHALLENGER DR, GREEN BAY, WI 54311-8328
(920) 469-1313
Mailing address
825 CHALLENGER DR, GREEN BAY, WI 54311-8328
(920) 469-1313
(920) 469-4428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1221-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43908300
—
WI
Enumeration date
04/17/2006
Last updated
03/07/2023
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