Individual
MRS. CASEY J CARPENTER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8961 RICHFIELD DR, MARSHFIELD, WI 54449-9657
(715) 213-6292
Mailing address
8961 RICHFIELD DR, MARSHFIELD, WI 54449-9657
(715) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320959
WI
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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