Individual
CAROLYN L TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(608) 719-8585
Mailing address
430 E DIVISION ST, ST. AGNES HOSPITAL, FOND DU LAC, WI 54935-4560
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4287
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
71810
WV
Other
Enumeration date
11/23/2010
Last updated
04/08/2026
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