Individual
TERRI ANN SORG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9456 HOWERY RD, MOUNT HOREB, WI 53572-1124
(608) 798-2337
Mailing address
N2351 COUNTY RD N, LYNDON STATION, WI 53944-9715
(608) 666-4313
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
72786030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39953000
—
WI
Enumeration date
03/21/2006
Last updated
07/09/2007
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