SearchWisconsin101YA0400X

Alexis Smith, SAC-IT

NPI 1992237440 · on the registry since 2017

Practice

Address
630 Cherry St
Green Bay, WI 54301
Phone
(920) 435-2093
Organisation at this address
Jackie Nitschke Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin