IndividualActive
Amy Perdomo, NP
NPI 1679052104 · Psychiatric/Mental Health Nurse Practitioner · Green Bay, WI
Provider details
- NPI number
- 1679052104
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 8778 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1160 Kepler Dr
Green Bay, WI 54311-8321
Phone: (920) 288-5630
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 735044
Chicago, IL 60673-5044
Registry dates
- Enumerated
- 2018-08-07
- Last updated
- 2024-11-17
- Certified
- 2024-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.