Healthcare Provider Details

I. General information

NPI: 1982594495
Provider Name (Legal Business Name): HANNAH HOPE THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH HOFFMAN

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 S WEBSTER AVE
GREEN BAY WI
54301-3505
US

IV. Provider business mailing address

2838 VIRGO RD
GREEN BAY WI
54311-6799
US

V. Phone/Fax

Practice location:
  • Phone: 920-433-3500
  • Fax:
Mailing address:
  • Phone: 920-634-8406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17029-33
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number245788-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: