Individual
MAE CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1601 WOODWARD AVE, ROTHSCHILD, WI 54474-1366
(715) 297-4467
Mailing address
1601 WOODWARD AVE, ROTHSCHILD, WI 54474-1366
(715) 297-4467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
127663
WI
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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