MIRANDA MARY CSETER


Address: 2793 Lineville Rd, Green Bay, WI 54313-7152
Phone: 9204964700

MIRANDA MARY CSETER (NPI# 1275049140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275049140
Entity Type Individual
Full Name MIRANDA MARY CSETER
Other Name MIRANDA MARY BODEN
Credential PA-C
Practice Address 2793 Lineville Rd
Green Bay
WI 54313-7152
Practice Telephone 9204964700
Mailing Telephone 9204964700
Enumeration Date 2017-12-14
Last Update Date 2018-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
4267-23 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2793 LINEVILLE RD
City GREEN BAY
State WI
Zip Code 54313-7152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932172053 Susan Frangiskakis Specialist 2793 Lineville Rd, Green Bay, WI 54313-7152 2006-02-09
1063026276 Matthew John Sprister Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2020-09-04
1780215251 Christine Hyde Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2020-02-03
1205205424 Jennifer N. Charles Registered Nurse 2793 Lineville Rd, Green Bay, WI 54313-7152 2015-09-17
1316222771 Tiffany Lynn Laughlin Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2011-10-18
1720217722 St Vincent Hospital-hospital Sisters-third Order of St Francis Durable Medical Equipment & Medical Supplies 2793 Lineville Rd, Green Bay, WI 54313-7152 2009-07-11
1154563229 Joshua D Rankin Pediatrics 2793 Lineville Rd, Green Bay, WI 54313-7152 2009-04-03
1336300276 Bradley Allen Locke Pediatrics 2793 Lineville Rd, Green Bay, WI 54313-7152 2008-06-23
1003080102 Mark Andrew Kachan Podiatrist 2793 Lineville Rd, Green Bay, WI 54313-7152 2008-04-18
1013197979 Mariruth Neff Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2007-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548823420 Martha Lynn Drew Licensed Practical Nurse 3101 Molly Brown Lane, Green Day, WI 54313 2019-04-17
1831691872 Melanie Hammerbeck Dentist 1756 Cardinal Ln, Green Bay, WI 54313 2018-03-06
1649727108 Amanda Marie Mckeefry Dental Hygienist 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 2016-09-01
1326594813 Kaylee Schartner Dental Hygienist 2304 Lineville Road, Suite 100, Suamico, WI 54313 2016-08-25
1134500226 Salvanz Enterprises Inc Pharmacy 2673 Lineville Road, Green Bay, WI 54313 2015-06-15
1467849307 Maureen Riordan Specialist/Technologist 2957 S Telemark Cir., Green Bay, WI 54313 2015-04-17
1043556780 Kellen James Binder Chiropractor 2638 Tulip Lane, Suite B, Green Bay, WI 54313 2012-12-28
1407092737 Sara Ann Anderson Registered Nurse 2691 Shade Tree Ln, Green Bay, WI 54313 2008-12-16
1467601344 Melissa Lea Socha Speech-Language Pathologist 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 2008-09-16
1003070707 Anne Marie Hein Physical Therapist 3101 S Packerland Dr, Green Bay, WI 54313 2008-07-11
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003476276 Jenna Mae Hanson Physician Assistant 1715 Dousman St, Green Bay, WI 54303-3211 2019-06-19
1437506110 Jessica Zarzecki Physician Assistant 1821 S Webster Ave, Green Bay, WI 54301-2253 2016-05-23
1205219680 Mitchell J Lind Physician Assistant 1630 Commanche Ave, Green Bay, WI 54313-5753 2015-07-03
1164614327 Kristin M Mccabe Physician Assistant 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 2007-08-13
1538205380 Gail P Bosco Physician Assistant 2430 E Mason St, Green Bay, WI 54302-3759 2007-01-29
1609826171 Jacquelyn Renee Phillips Physician Assistant 744 S Webster Ave, 2nd Floor, Green Bay, WI 54301-3505 2006-05-12
1801898564 William Robert Conrad Physician Assistant 720 S Van Buren St, Suite 301, Green Bay, WI 54301-3538 2005-08-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093348542 Christopher Sean Lanctin Physician Assistant 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 2020-02-12
1750936068 Javier Eugenio Font Physician Assistant 813 N Clover Ln, Cottage Grove, WI 53527-9433 2019-08-04
1962056432 Lyndsey Marie Bratberg Physician Assistant F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 2019-08-01
1588225544 Hannah Elizabeth Krum Physician Assistant S80w17784 Brennan Dr, Muskego, WI 53150-8828 2019-06-21
1255825162 Katelyn Marie Frankwick Physician Assistant 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 2018-06-15
1831644228 Megan E Nelson Physician Assistant 221 E Mills Dr, Lake Mills, WI 53551-1910 2016-08-16
1356717904 Amy Hermus Physician Assistant 451 Butternut Dr, Oregon, WI 53575-1349 2015-08-18
1497168066 Alexander J Hill Physician Assistant 1111 North Road, Mauston, WI 53948-0700 2014-06-11
1487083242 Andrew John Miller Physician Assistant 1521 Lakeview Ave, Wausau, WI 54401-6168 2013-11-02
1386944502 Bethany Rose Yard Physician Assistant 18601 Lincoln Street, Whitehall, WI 54773 2010-10-22
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Competitor

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City GREEN BAY
Zip Code 54313

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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