Individual
ELIZABETH HENDERSON CERNOHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
906 COLLEGE AVE WEST, LADYSMITH, WI 54848
(715) 532-2345
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2717
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43854500
—
WI
Enumeration date
08/24/2006
Last updated
07/08/2007
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