Individual
MRS. CONNIE ANN CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
N3010 N 1ST RD, POUND, WI 54161-9632
(920) 604-0505
Mailing address
N3010 N 1ST RD, POUND, WI 54161-9632
(920) 604-0505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175779-30
WI
Other
Enumeration date
04/07/2012
Last updated
03/16/2015
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