Individual
TERESA L CORNWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 WOOD ST, ROTHSCHILD, WI 54474-1150
(715) 581-6673
Mailing address
205 WOOD ST, ROTHSCHILD, WI 54474-1150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125796-030
WI
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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