Individual provider · Type 1 NPI

Pam Niles, NP

Nurse Practitioner · Green Bay, WI

NPI number 1063460673 Active

Practice location

2641 Development Dr
Green Bay, WI 54311-4240

Call (920) 338-6868 Map

Fax (920) 338-6869

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	2067-033 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063460673

Pam Niles, NP's National Provider Identifier is 1063460673, issued on May 5, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 13, 2026.