Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE ROSE VANDER BLOOMEN, MSN, FNP-C
Active Sole ProprietorMACKENZIE ROSE VANDER BLOOMEN, MSN, FNP-C is a Nurse Practitioner healthcare provider located in GREEN BAY, Wisconsin. NPI 1740940733 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · GREEN BAY, WI
Registration Details
- NPI Number
- 1740940733
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2021 (4.6126652788946 yrs)
- Last Updated
- Oct 13, 2022
- Licenses
-
230930-30 (WI)11824-33 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1860 SHAWANO AVEGREEN BAY, WI, 543032667Browse WI providers · Browse ZIP 54303
- Phone
- 9202721010
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| LOUISE A BERNDT | FNP C | 1033106430 |
| PATRICIA M POLFUS | NP | 1144204082 |
| HELEN FRIEDA WELLENS | NP | 1528042132 |
| TAMARA A BALDWIN | APNP | 1518942937 |
| CATHY J FREIS | NP | 1467437830 |
| JEAN M MCHENRY | NP | 1679558878 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.