Individual
BEVERLY KAY CASSELLIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
307 W WARREN ST, TOMAH, WI 54660-1399
(608) 372-3012
(608) 785-5330
Mailing address
21767 STATE HIGHWAY 16, TOMAH, WI 54660-6822
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
108061-030
WI
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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