ANN T DERGE BSN RN-C APNP NPI 1952409732

NPI Information

NPI: 1952409732
Provider Name: ANN T DERGE, BSN, RN-C, APNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
1537 PARK PL
STE 200
GREEN BAY, WI
ZIP 54304
Phone: (920) 498-8650
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Ann T Derge, BSN, RN-C, APNP is a women's health nurse practitioner in Green Bay, WI. Ann T Derge, BSN, RN-C, APNP NPI is 1952409732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1537 PARK PL
STE 200
GREEN BAY, WI
ZIP 54304-974
Phone: (920) 498-8650
Fax: (920) 498-0945

The enumeration date for this NPI number is 9/20/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	1014-033	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000207365	OTHER	WISCONSIN	MEDICARE
2	STATE LICENSE	OTHER	WISCONSIN	1014-033
3	STATE LICENSE	OTHER	WISCONSIN	82393-030

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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