Individual
CORINNE MONIQUE HERTSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 W PICKWICK DR STE A, SYRACUSE, IN 46567-1832
(574) 457-8585
(260) 479-2913
Mailing address
107 W PICKWICK DR STE A, SYRACUSE, IN 46567-1832
(574) 457-8585
(260) 479-2913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28173822A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009435A
IN
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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