Individual
MS. CORINNE MARCIA ANTHONY-MANSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406-3735
(262) 884-4088
Mailing address
2000 PILLARGATE DR, ALPHARETTA, GA 30022-5547
(678) 488-0347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
100477
WI
363LF0000X
Family Nurse Practitioner
185794
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234465
—
WI
Enumeration date
02/29/2020
Last updated
07/11/2023
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