Individual
CARRIE A ROTHERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937
(920) 926-7800
Mailing address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 926-7800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
150226-030
WI
363L00000X
Nurse Practitioner
Primary
4992
WI
Other
Enumeration date
10/09/2007
Last updated
12/03/2021
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