Individual provider · Type 1 NPI

Kellie Greenwood

Nurse Practitioner · De Pere, WI

NPI number 1962036830 Active

Practice location

1881 Chicago St
De Pere, WI 54115-3770

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 · (414) 352-3100

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10270 (WI)
Family Nurse Practitioner 363LF0000X10270-33 (WI)
Registered Nurse 163W00000X229334-30 (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…

29 other providers at this address

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About NPI 1962036830

Kellie Greenwood's National Provider Identifier is 1962036830, issued on Feb 28, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in De Pere, WI. The record was last updated on Aug 28, 2026.