Individual
ELAINE MARIE SORENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L..P.N.
Contact information
Practice address
1300 MAPLE ST, BALDWIN, WI 54002-9395
(715) 684-4655
Mailing address
W7642 COUNTY ROAD J, P. O. BOX 12, BELDENVILLE, WI 54003-4706
(715) 273-3569
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28781- 031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39946400
—
WI
Enumeration date
03/24/2006
Last updated
07/09/2007
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