Individual provider · Type 1 NPI

Taylor Rae Rotherham-Decremer, NP

Nurse Practitioner · Green Bay, WI

NPI number 1427689074 Active

Practice location

1920 Libal St
Green Bay, WI 54301-2471

Call (920) 436-8691 Map

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Other practice locations

  • 723 S Wisconsin St, Pulaski, WI 54162-9303 · (920) 822-1100
  • 1630 Commanche Ave, Green Bay, WI 54313-5753 · (920) 430-4700
  • 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 · (920) 445-7377
  • 2015 Shawano Ave, Green Bay, WI 54303-2606 · (920) 592-9478
  • 3415 Custer St, Manitowoc, WI 54220-4324 · (920) 652-9310
  • 3263 Eaton Rd, Green Bay, WI 54311-6830 · (920) 433-6000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9464-33 (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…

11 other providers at this address

Other nurse practitioner providers in Green Bay

See all in Green Bay →

About NPI 1427689074

Taylor Rae Rotherham-Decremer, NP's National Provider Identifier is 1427689074, issued on Feb 3, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Dec 8, 2022.