Stephanie R Smullen in Green Bay - Physician Assistant
Stephanie R Smullen - NPI 1316117500
Stephanie R Smullen is a Physician Assistant in Green Bay, Wisconsin. Stephanie R Smullen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie R Smullen is 1316117500. The last update date is 2023-08-02.
Stephanie R Smullen's current location address is 2845 Greenbrier Rd Ste 240, Green Bay, Wisconsin. You can contact this provider via phone number 9202888280 and fax number 9202888285. The mailing address for Stephanie R Smullen is 2845 Greenbrier Rd Ste 240, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie R Smullen |
|---|---|
| Address | 2845 Greenbrier Rd Ste 240, Green Bay, Wisconsin |
| Phone Number | 9202888280 |
| Fax Number | 9202888285 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1316117500 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2023-08-02 |
Provider Mailing Address Detail
| Address | 2845 Greenbrier Rd Ste 240 |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543088900 |
| Phone Number | 9202888280 |
| Fax Number | 9202888285 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2242 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephanie R Smullen by the Centers for Medicare & Medicaid Services?
The Stephanie R Smullen has been issued the NPI (National Provider Identifier) 1316117500, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stephanie R Smullen?
The Stephanie R Smullen is physically situated at 2845 Greenbrier Rd Ste 240, in the city of Green Bay, state of WI, with the postal code 543088900.
What is the Stephanie R Smullen's area of specialization and corresponding taxonomy classification?
The Stephanie R Smullen's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Stephanie R Smullen receive its 1316117500 assignment from the Centers for Medicare & Medicaid Services?
The Stephanie R Smullen was assigned its 1316117500 by the Centers for Medicare & Medicaid Services on 2008-03-04.
When was the information pertaining to Stephanie R Smullen most recently updated or revised?
The details related to Stephanie R Smullen, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-02.