Individual
CAREY L WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2219 GARFIELD ST, TWO RIVERS, WI 54241
(920) 793-2281
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6260
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100043315
—
WI
Enumeration date
03/05/2015
Last updated
03/07/2024
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