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MACAELA JO CORNELISSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, NNP-BC

Contact information

Practice address
1376 PARTRIDGE RD, DE PERE, WI 54115-9651
(920) 419-5498
Mailing address
1376 PARTRIDGE RD, DE PERE, WI 54115-9651
(920) 419-5498

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
234927
WI
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
14025
WI

Other

Enumeration date
03/21/2021
Last updated
08/19/2024
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