Individual
TERESA J CHOUINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
620 W BROWN ST, WAUPUN, WI 53963-1702
(920) 324-6846
Mailing address
620 W BROWN ST, WAUPUN, WI 53963-1702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7033-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146532-30
RN LICENSE
WI
01
—
7033-33
WI LICENSE
WI
Enumeration date
06/29/2016
Last updated
10/27/2020
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