Brace, Marta Robin
Brace, Marta Robin is an individual health care provider with primary practice located at 1715 Dousman St , Green Bay WI 54303-3211. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Brace, Marta Robin can be contacted via phone (920) 496-4700.Contact Information
Primary practice address
1715 Dousman St
Green Bay WI 54303-3211
Phone: (920) 496-4700
Fax: (920) 496-4705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 118527 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 807 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 118527 | Wisconsin |
Profile Details
| NPI number | 1386669497 |
|---|---|
| LBN Legal business name | Brace, Marta Robin |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Aug 24th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386669497 | NPPES |
| Wisconsin | MEDICAID | 39905200 |
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