MICHAEL LITRENTA


Address: 835 S Websster, Green Bay, WI 54301-3526
Phone: 9204330111

MICHAEL LITRENTA (NPI# 1043694276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043694276
Entity Type Individual
Full Name MICHAEL LITRENTA
Credential NP
Practice Address 835 S Websster
Green Bay
WI 54301-3526
Mailing Address 3624 Glen Kent Ct
Green Bay
WI 54313-7469
Practice Telephone 9204330111
Mailing Telephone 2628806173
Enumeration Date 2015-07-17
Last Update Date 2015-11-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
154342 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 6556 05

Office Location

Street Address 835 S WEBSSTER
City GREEN BAY
State WI
Zip Code 54301-3526

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1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063762755 Lisa M Piontek Nurse Practitioner 835 S. Van Buren St, Green Bay, WI 54301-3526 2012-09-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669614020 Therese Vanbuskirk Nurse Practitioner 10400 75th St., Kenosha, WI 53142 2009-04-01
1992319065 Mariia Steffeny Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-09-04
1578187217 Jennifer Zack Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2020-05-28
1174173215 Amanda Noel Pickar Nurse Practitioner 1836 South Ave, La Crosse, WI 54601-5429 2019-09-19
1760030688 Pamela Zastrow Nurse Practitioner 725 American Ave, Waukesha, WI 53188-5031 2019-09-04
1023665924 Roya Gandt Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226 2019-08-25
1730641358 Karli Ann Durski Nurse Practitioner 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 2019-04-02
1992287924 Dena Hackmaster Nurse Practitioner 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 2018-09-06
1720565674 Jessica A. Steine Nurse Practitioner 1836 South Ave, La Crosse, WI 54601-5429 2018-07-24
1780170175 Jamie Lynn Buttner Nurse Practitioner 700 S Park St, Madison, WI 53715-1830 2018-07-09
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Competitor

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City GREEN BAY
Zip Code 54301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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