Individual
ANGELA M CONNELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3111 GUNDERSON RD, ONALASKA, WI 54650-8447
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
148807
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36034200
—
WI
Enumeration date
06/07/2007
Last updated
07/10/2015
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