Ms. Michelle Lynn Maki
Nurse Practitioner - Women's Health
1821 S. Webster Avenue
Green Bay
, Wisconsin 54301-2253
Ms. Michelle Lynn Maki
Nurse Practitioner - Women's Health
1821 S. Webster Avenue
Green Bay
, Wisconsin 54301-2253
(920) 496-4700
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Ms. Michelle Lynn Maki
- Po Box 19070
- Green Bay, WI
- Zip : 54307-9070
- Phone : (920) 496-4700
Second Address
- Ms. Michelle Lynn Maki
- 1821 S. Webster Avenue
- Green Bay, WI
- Zip : 54301-2253
- Phone : (920) 496-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 4123-33 | WI |
National Provider Identifier
| NPI | 1053631564 |
|---|---|
| Provider Name | Ms. Michelle Lynn Maki |
| First Address | Green Bay, WI 54307-9070 |
| Second Address | Green Bay, WI 54301-2253 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2010 |
| Last Update Date | 26/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.