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Individual

CAROLYN M SCHELLIE

Active
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Individual

CAROLYN M SCHELLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MN, CPNP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209.007205
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
2471
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41266100
—
WI
Enumeration date
05/18/2006
Last updated
09/22/2011
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