Provider Demographics
NPI:1285306035
Name:COMBS, ALLISON MARIE (APNP)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARIE
Last Name:COMBS
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:M
Other - Last Name:PAIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:PO BOX 22487
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2487
Mailing Address - Country:US
Mailing Address - Phone:920-445-7222
Mailing Address - Fax:920-445-7289
Practice Address - Street 1:2015 SHAWANO AVE
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54303-2606
Practice Address - Country:US
Practice Address - Phone:920-592-9478
Practice Address - Fax:920-592-9479
Is Sole Proprietor?:No
Enumeration Date:2021-09-30
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704393704363LF0000X
WI11096-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
2021028401OtherAMERICAN NURSES CREDENTIALING CENTER
241539OtherAMERICAN NURSES CREDENTIALING CENTER