Bridge To Health, LLC
Registered Nurse, Pain Management in Green Bay, WI. Organization (NPI-2).
NPI number1760618458
StatusActive
Last updated in NPPESJul 15, 2009
Details
- NPI
- 1760618458
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridge To Health, LLC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2009
- Last updated
- Jul 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0000X | Registered Nurse, Pain Management | 79614 | WI | Yes |
Practice location
2149 Velp AveSuite 205
Green Bay, WI 54303-5424
Phone 920-434-8500 · Fax 920-468-9791
Mailing address
2149 Velp AveSuite 205
Green Bay, WI 54303-5424
Phone 920-434-8500 · Fax 920-468-9791
Authorized official
Bonnie Lee Groessl
Owner/Nurse Practitioner
9204348500
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