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Amy E Perdomo, NP
Psychiatric/Mental Health Nurse Practitioner in Green Bay, Wisconsin
NPI 1679052104

Amy E Perdomo is a Psychiatric/Mental Health Nurse Practitioner based in Green Bay, WI and is specialized in Psychiatric/Mental Health. Amy E Perdomo practices in Green Bay, WI and has the professional credentials of NP. The NPI Number for Amy E Perdomo is 1679052104 and holds a License No. 8778 (Wisconsin).

The current practice location address for Amy E Perdomo is 1160 Kepler Dr, Green Bay, WI and can be reached out via phone at 920-288-5630.

Location: 1160 Kepler Dr, Green Bay, WI, 54311-8321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679052104
Provider Name
Amy E Perdomo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1160 Kepler Dr, Green Bay, WI, 54311-8321
Phone Number
920-288-5630
Fax Number
Provider Enumeration Date
08/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100082580 05 WI
100082621 05 WI
institution
Provider Business Practice Location Address Details
Address
1160 Kepler Dr
City
Green Bay
State
Wisconsin
Zip
54311-8321
Phone Number
920-288-5630
Fax Number
person
Provider Business Mailing Address Details
Address
1160 Kepler Dr
City
Green Bay
State
Wisconsin
Zip
54311-8321
Phone Number
920-288-5630
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
8778 (Wisconsin)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
8778 (Wisconsin)
Definition
Definition to come...
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