Individual
MRS. CAROL ANN IDSO ELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-9220
(262) 253-9221
Mailing address
W129N7055 NORTHFIELD DR, MENOMONEE FALLS, WI 53051-0538
(262) 253-9220
(262) 253-9221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
131295
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942259122
—
WI
05
—
43888000
—
WI
Enumeration date
05/08/2006
Last updated
09/01/2022
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