Hermanson, Audra
Hermanson, Audra is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-2253. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hermanson, Audra can be contacted via phone (920) 272-1610.Contact Information
Primary practice address
1821 S Webster Ave
Green Bay WI 54301-2253
Phone: (920) 272-1610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 3802-33 | Wisconsin |
Profile Details
| NPI number | 1487884623 |
|---|---|
| LBN Legal business name | Hermanson, Audra |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Nov 1st, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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