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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386669497 NPPES
Wisconsin MEDICAID 39905200

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