Individual
ROCHELLE ALLEXIA CODLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA,MSN, AGNP-C
Contact information
Practice address
2268 MANLEY DR, SUN PRAIRIE, WI 53590-9688
(608) 286-4641
Mailing address
2268 MANLEY DR, SUN PRAIRIE, WI 53590-9688
(608) 286-4641
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG01200090
WI
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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