NPI 1447760947

Nicole Lee Dembroski, CSFA

Practitioner Surgical Assistant Green Bay, WI

Practice location

Address: 2845 Greenbrier Rd, Green Bay, WI 54311-6519
Phone: (920) 490-9046
Mailing address: 164 N Broadway, Green Bay, WI 54303-2728

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 177942 (WI)

Other Specialist/Technologist, Other providers in Wisconsin →

Registry record

NPI: 1447760947
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Oct 2017
Record last updated: 10 Oct 2017

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.