Healthcare Provider Details

I. General information

NPI: 1316518533
Provider Name (Legal Business Name): CYNTHIA JANE BIEDA APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA JANE BELANGER APNP

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 COMMANCHE AVE
GREEN BAY WI
54313-5751
US

IV. Provider business mailing address

2366 OAK RIDGE CIR
DE PERE WI
54115-9207
US

V. Phone/Fax

Practice location:
  • Phone: 920-435-8326
  • Fax:
Mailing address:
  • Phone: 920-338-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11067-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: