Individual
DENISE CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 CHESTNUT ST, NEENAH, WI 54956-3364
(920) 720-9292
Mailing address
620 CHESTNUT ST, NEENAH, WI 54956-3364
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39910600
—
WI
Enumeration date
03/06/2007
Last updated
07/09/2007
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