Provider Demographics
NPI:1225225733
Name:BIANCO, DENISE ANNE (FNP)
Entity Type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:ANNE
Last Name:BIANCO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2771 RAMADA WAY
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54304-5759
Mailing Address - Country:US
Mailing Address - Phone:920-544-9586
Mailing Address - Fax:920-497-9908
Practice Address - Street 1:2771 RAMADA WAY
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54304-5759
Practice Address - Country:US
Practice Address - Phone:920-544-9586
Practice Address - Fax:920-497-9908
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2007-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3010-033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily