Most Relevant Information
Provider Data
NPI Number: | 1003521584 |
Provider Name: | CORINNE ELIZABETH GEORGE APNP |
Entity Type: | Individual |
Taxonomy Code: | 363LN0000X |
Specialty: | Nurse Practitioner |
License Number: | 13562-33 |
Most Important Dates
Enumeration Date: | 01/18/2023 |
Last Updated: | 11/01/2024 |
Provider Practice Location
744 S WEBSTER AVE
GREEN BAY
WI
543013581
Practice Location Phone/Fax
Phone: | 9204333500 |
Fax: | 9204457301 |
Provider Mailing Location
PO BOX 22487
GREEN BAY
WI
543052487
Provider Mailing Phone/Fax
Phone: | 9204457210 |
Fax: | 9204457289 |