Ten Haken, Marcia A

Ten Haken, Marcia A is an individual health care provider with primary practice located at 720 S. Vanburen St , Green Bay WI 54301. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Ten Haken, Marcia A can be contacted via phone (920) 433-3420.

Contact Information

Primary practice address
720 S. Vanburen St Green Bay WI 54301
Phone: (920) 433-3420
Fax: (920) 433-3788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 71807-32 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2470-33 Wisconsin

Profile Details

NPI number 1699882704
LBN Legal business name Ten Haken, Marcia A
Credentials CNM, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Feb 5th, 2019 - about 6 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 1699882704 NPPES
Wisconsin MEDICAID 41197000

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