Holli J Marklein, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

151773 Issued in MI

Practice address

Green Bay CTC
2857 W. Mason St
Green Bay, WI 54303-4708

Phone

(920) 337-6740

NPI assigned

May 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality Addiction Management Inc

  • Methadone Clinic
  • Kenosha, WI
  • NPI 1184354979
  NPD (past)
• Quality Addiction Management Inc

  • Methadone Clinic
  • Green Bay, WI
  • NPI 1629282470
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1003481144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GREEN BAY CTC",
            "address_2": "2857 W. MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034708",
            "telephone_number": "920-337-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GREEN BAY CTC",
            "address_2": "2857 W. MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034708",
            "telephone_number": "920-337-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLEIN",
        "first_name": "HOLLI",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "151773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Marciniak
• Timothy Joseph Marciniak, H.I.S.
• Chester Marcol
• Christina Anne Marien
• Mark Brodhagen DDS SC
• Victoria Marie Markowski, MS, ATR, LPC-IT
• Marla Vista Manor Assisted Living of Green Bay, LLC
• Myron M Marlett, MD
• Kim Marohl, MA, LPC
• Patti M Marquardt, APNP

• Registered Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.