Individual
TERESA C PATWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1300 S CENTURY AVE, WAUNAKEE, WI 53597-2386
(608) 849-4315
(608) 850-1606
Mailing address
1300 S CENTURY AVE, WAUNAKEE, WI 53597-2386
(608) 849-4315
(608) 850-1606
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
235-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538118625
—
WI
Enumeration date
05/08/2006
Last updated
08/25/2021
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