Polfus, Patricia M

Polfus, Patricia M is an individual health care provider with primary practice located at 1821 S Webster Ave , Green Bay WI 54301-9070. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Polfus, Patricia M can be contacted via phone (920) 338-6820.

Contact Information

Primary practice address
1821 S Webster Ave Green Bay WI 54301-9070
Phone: (920) 338-6820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 278 Wisconsin

Profile Details

NPI number 1144204082
LBN Legal business name Polfus, Patricia M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jun 22nd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144204082 NPPES
Wisconsin Other 278-033 LICENSE

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