NPI 1003508649

Cristian a Vasiliev, FNP

Practitioner Family Nurse Practitioner Green Bay, WI

Practice location

Address: 923 Eliza St, Green Bay, WI 54301-3018
Phone: (920) 965-4800
Mailing address: PO Box 23400 744 South Webster Ave, Green Bay, WI 54305-3018

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 13994-33 (WI)

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Registry record

NPI: 1003508649
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2023
Record last updated: 10 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.