Individual provider · Type 1 NPI
Shannon Pastovic
Nurse Practitioner · Green Bay, WI
Practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Fax (920) 433-3498
Mailing address
PO Box 708760
Sandy, UT 84070-8760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 9093-33 (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…
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- Miranda Marie Hintz, APNPNurse Practitioner Green Bay, WI NPI 1013377969
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About NPI 1972065407
Shannon Pastovic's National Provider Identifier is 1972065407, issued on Apr 3, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on Apr 3, 2019.