NEW MOMS OF GREEN BAY SC NPI 1942349337

NPI Information

  • NPI: 1942349337
  • Provider Name: NEW MOMS OF GREEN BAY SC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 704 S WEBSTER AVE
    STE 110
    GREEN BAY, WI
    ZIP 54301
  • Phone: (920) 431-0200

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NPI Details

NEW MOMS OF GREEN BAY SC is an obstetrics gynecology in Green Bay, WI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NEW MOMS OF GREEN BAY SC NPI is 1942349337. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 S WEBSTER AVE
STE 110
GREEN BAY, WI
ZIP 54301-528
Phone: (920) 431-0200

The provider's authorized official is Shannon M Terrien .
The authorized official title is Business Office and has the following contact phone number (920) 431-0200.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 10/21/2009.

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
1207V00000XObstetrics & GynecologyYes

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=========OTHERWISCONSINTAX ID

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: 3/30/2025

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