| NPI | 1518181080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE MCDONNELL Cmo Dme Coordinator 608-789-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: WI 119129-030) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |