Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paul Antonissen, APNP

Individual provider Family Nurse Practitioner · NPI 1174096747

Paul Antonissen, APNP is a Family Nurse Practitioner in De Pere, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019

Practice location Address checks out

3957 Garrett St
De Pere, WI 54115-1655
Phone: (920) 471-3729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 8973-33 (WI)

Record details

NPI number1174096747
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 7, 2019
Last updated in NPPESJanuary 7, 2019
Mailing address3957 Garrett St, De Pere, WI 54115-1655

Other providers in De Pere