Individual provider · Type 1 NPI
Nicole Lee Spaeth, APNP
Family Nurse Practitioner · Green Bay, WI
NPI number
1376562744
Active
Practice location
1821 S Webster Ave
Green Bay, WI 54301-2253
Fax (920) 496-4705
Mailing address
PO Box 19070, Prevea Health
Green Bay, WI 54307-9070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 140167 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 2699-33 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376562744
Nicole Lee Spaeth, APNP's National Provider Identifier is 1376562744, issued on Jul 18, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Green Bay, WI. The record was last updated on Jun 20, 2008.