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Kyla S Balzar, NP
Family Nurse Practitioner in Green Bay, Wisconsin
NPI 1487316006

Kyla S Balzar is a Family Nurse Practitioner based in Green Bay, WI and is specialized in Family. Kyla S Balzar practices in Green Bay, WI and has the professional credentials of NP. The NPI Number for Kyla S Balzar is 1487316006 and holds a License No. 11385-33 (Wisconsin).

The current practice location address for Kyla S Balzar is 2020 S Webster Ave, Green Bay, WI and can be reached out via phone at 920-445-7210.

Location: 2020 S Webster Ave, Green Bay, WI, 54305-2487
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487316006
Provider Name
Kyla S Balzar
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2020 S Webster Ave, Green Bay, WI, 54305-2487
Phone Number
920-445-7210
Fax Number
Provider Enumeration Date
10/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2021033573 01 AMERICAN NURSES CREDENTIALING CENTER
institution
Provider Business Practice Location Address Details
Address
2020 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2291
Phone Number
920-445-7210
Fax Number
person
Provider Business Mailing Address Details
Address
2020 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2291
Phone Number
920-445-7210
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11385-33 (Wisconsin)
Definition
Definition to come...
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