Angela Yvonne Puchalla in Green Bay - Athletic Trainer
Angela Yvonne Puchalla - NPI 1114917580
Angela Yvonne Puchalla is a Athletic Trainer in Green Bay, Wisconsin. Angela Yvonne Puchalla practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Angela Yvonne Puchalla is 1114917580. The last update date is 2007-07-08.
Angela Yvonne Puchalla's current location address is 1630 Commanche Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9206553005. The mailing address for Angela Yvonne Puchalla is 1630 Commanche Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Yvonne Puchalla |
|---|---|
| Address | 1630 Commanche Ave, Green Bay, Wisconsin |
| Phone Number | 9206553005 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | LAT, ATC |
NPI Number Detail
| NPI Number | 1114917580 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1630 Commanche Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543135753 |
| Phone Number | 9206553005 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 549-039 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique provider identifier assigned to Angela Yvonne Puchalla?
The Angela Yvonne Puchalla has been issued the NPI (National Provider Identifier) 1114917580 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
What is the unique 10-digit identification code issued to Angela Yvonne Puchalla by the Centers for Medicare & Medicaid Services?
The Angela Yvonne Puchalla has been assigned the NPI (National Provider Identifier) 1114917580 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Angela Yvonne Puchalla?
The Angela Yvonne Puchalla is situated at 1630 Commanche Ave, in the city of Green Bay, state of WI, with the zip code 543135753.
As of what date were the details pertaining to Angela Yvonne Puchalla last refreshed?
The information related to the Angela Yvonne Puchalla, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
When was the information regarding Angela Yvonne Puchalla, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Angela Yvonne Puchalla, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.