Individual
COURTNEY M COLLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
889 E JOHNSON ST, FOND DU LAC, WI 54935-2933
(920) 367-6700
Mailing address
2725 JACKSON ST, OSHKOSH, WI 54901-1513
(920) 223-7600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
166270
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
5691
WI
Other
Enumeration date
02/19/2014
Last updated
12/14/2023
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