Individual
COLLEEN GRACE PALLARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
902 STONEY HILL LN, COTTAGE GROVE, WI 53527-9186
(608) 334-5298
Mailing address
902 STONEY HILL LN, COTTAGE GROVE, WI 53527-9186
(608) 334-5298
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140544-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38336900
—
WI
Enumeration date
03/23/2009
Last updated
03/23/2009
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