Individual provider · Type 1 NPI

Taylor Rae Root

Physician Assistant · Green Bay, WI

NPI number 1396377883 Active

Practice location

1110 Kepler Dr
Green Bay, WI 54311-8306

Call (920) 288-5555 Map

Fax (920) 288-5550

Mailing address

1035 Kepler Dr
Green Bay, WI 54311-8320

Other practice locations

  • 1280 E Campus Dr, Mount Pleasant, MI 48858-3803 · (989) 774-2315

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X5382 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1396377883

Taylor Rae Root's National Provider Identifier is 1396377883, issued on Feb 12, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Green Bay, WI. The record was last updated on May 19, 2026.