PAUL ANTONISSEN, APNP

Nurse Practitioner - Family

Active Individual
NPI: 1174096747

Practice Address

3957 GARRETT ST
De Pere, WI 54115

Phone: (920) 471-3729

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 8973-33 (WI)

Frequently Asked Questions

NPI 1174096747 is the National Provider Identifier for PAUL ANTONISSEN, APNP, a Nurse Practitioner - Family provider located in De Pere, WI. This NPI was enumerated on January 7, 2019.
PAUL ANTONISSEN, APNP practices at 3957 GARRETT ST, De Pere, WI 54115.

Quick Facts

NPI
1174096747
Type
Individual
Enumerated
Jan 7, 2019
Last Updated
Jan 7, 2019

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