Organization · Type 2 NPI

Bellin Memorial Hospital Inc

Nurse Practitioner · Sturgeon Bay, WI

NPI number 1174890024 Active

Practice location

229 N 14th Ave
Sturgeon Bay, WI 54235-1317

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

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…

NPI record

NPI: 1174890024
Entity type: Organization (Type 2)
Issued: Nov 21, 2011
Last updated: Oct 18, 2021
Status: Active
Subpart: Yes of Bellin Memorial Hospital Inc

Other names

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Bellin Medical Group at NWTC ST Bay · doing business as
Bellin Medical Group at NWTC ST Bay · doing business as

Authorized official

Denise K Stroobants
Credentialing Specialist
(920) 433-7864

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174890024

Bellin Memorial Hospital Inc's National Provider Identifier is 1174890024, issued on Nov 21, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sturgeon Bay, WI. The record was last updated on Oct 18, 2021.