Individual
CAROL J MOSEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RCS
Contact information
Practice address
1305 CAMELOT DR, JANESVILLE, WI 53548-1495
(608) 361-7053
Mailing address
3303 S AFTON RD, BELOIT, WI 53511-8749
(608) 365-4375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
105320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38275500
STATE PROVIDER NUMBER
WI
Enumeration date
10/10/2006
Last updated
07/08/2007
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