TAYLOR RAE ROTHERHAM-DECREMER

GREEN BAY, WI
NPI1427689074
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  9464-33)
Enumeration Date2020-02-03
Last Update Date2022-12-08
Business Address
TAYLOR RAE ROTHERHAM-DECREMER NP
1920 LIBAL ST
GREEN BAY, WI 54301-2471
Phone number: 920-436-8691
Mailing Address
TAYLOR RAE ROTHERHAM-DECREMER NP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7210
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