Individual
LIANE CORNILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AS
Contact information
Practice address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 280-2700
Mailing address
625 W WASHINGTON AVE, MADISON, WI 53703-2637
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
143951
WI
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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