Most Relevant Information
Provider Data
| NPI Number: | 1003508649 |
| Provider Name: | CRISTIAN A VASILIEV FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 13994-33 |
Most Important Dates
| Enumeration Date: | 05/23/2023 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
923 ELIZA ST
GREEN BAY
WI
543013018
Practice Location Phone/Fax
| Phone: | 9209654800 |
| Fax: |
Provider Mailing Location
PO BOX 23400
744 SOUTH WEBSTER AVE
GREEN BAY
WI
543053018
Provider Mailing Phone/Fax
| Phone: | 9204337411 |
| Fax: |