Stephanie Philipp
Nurse Practitioner, Family in Green Bay, WI. Individual provider (NPI-1).
NPI number1073993457
StatusActive
Last updated in NPPESOct 6, 2022
Details
- NPI
- 1073993457
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Philipp
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2015
- Certification date
- Oct 6, 2022
- Last updated
- Oct 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10154 | WI | Yes |
| 163W00000X | Registered Nurse | 194001 | WI | |
| 363L00000X | Nurse Practitioner | 10154 | WI |
Practice location
2845 Greenbrier RdGreen Bay, WI 54311-6519
Phone 920-288-8208 · Fax 920-288-3237
Mailing address
Po Box 28900Green Bay, WI 54324-0900
Phone 920-965-4055
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