Individual
MRS. RACHEL LEIGH KORDONSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-7880
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3842
WI
363LA2200X
Adult Health Nurse Practitioner
3842-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006612
—
WI
01
—
3842-33
WISCONSIN STATE LICENSE
WI
Enumeration date
09/15/2009
Last updated
12/01/2023
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