person
Paul Antonissen, APNP
Family Nurse Practitioner in De Pere, Wisconsin
NPI 1174096747

Paul Antonissen is a Family Nurse Practitioner based in De Pere, WI and is specialized in Family. Paul Antonissen practices in De Pere, WI and has the professional credentials of APNP. The NPI Number for Paul Antonissen is 1174096747 and holds a License No. 8973-33 (Wisconsin).

The current practice location address for Paul Antonissen is 3957 Garrett St, De Pere, WI and can be reached out via phone at 920-471-3729.

Location: 3957 Garrett St, De Pere, WI, 54115-1655
person
Provider Profile Details
NPI Number
1174096747
Provider Name
Paul Antonissen
Credential
APNP
Provider Entity Type
Individual
Gender
Male
Address
3957 Garrett St, De Pere, WI, 54115-1655
Phone Number
920-471-3729
Fax Number
Provider Enumeration Date
01/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3957 Garrett St
City
State
Zip
54115-1655
Phone Number
920-471-3729
Fax Number
person
Provider Business Mailing Address Details
Address
3957 Garrett St
City
State
Zip
54115-1655
Phone Number
920-471-3729
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
8973-33 (Wisconsin)
Definition
Definition to come...
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