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Individual

CORINNE R ENGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 283-7160
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 280-4647

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2760-033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235102989
WI
Enumeration date
02/10/2006
Last updated
11/11/2020
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