Individual
CAROLYN M SCHELLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, CPNP
Contact information
Practice address
4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 873-3440
(414) 873-3420
Mailing address
4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 873-3440
(414) 873-3420
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
209.007205
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
2471
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41266100
—
WI
Enumeration date
05/18/2006
Last updated
09/22/2011
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