Individual
MARY GRACE ELAINE COURCHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3442
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10440
WI
363LF0000X
Family Nurse Practitioner
10440
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124697768
—
WI
Enumeration date
06/18/2021
Last updated
01/20/2023
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