Individual
CAREN HALKERSTON GROOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2080 VINCENT DR, BROOKFIELD, WI 53045-1804
(262) 821-9377
Mailing address
2080 VINCENT DR, BROOKFIELD, WI 53045-1804
(262) 821-9377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
73940-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498204
—
WI
Enumeration date
01/02/2008
Last updated
01/02/2008
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