Individual provider · Type 1 NPI
Amy E. Perdomo, NP
Psychiatric/Mental Health Nurse Practitioner · Green Bay, WI
NPI number
1679052104
Active
Practice location
1160 Kepler Dr
Green Bay, WI 54311-8321
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 8778 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 8778 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679052104
Amy E. Perdomo, NP's National Provider Identifier is 1679052104, issued on Aug 7, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Green Bay, WI. The record was last updated on Nov 17, 2024.