THERESA CARLSON

MANITOWOC, WI
NPI1558068114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: WI  239835-30)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WI  000000)
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
THERESA CARLSON
2300 WESTERN AVE
MANITOWOC, WI 54220-3712
Phone number: 920-320-2011
Mailing Address
THERESA CARLSON
6925 IRISH RD
TWO RIVERS, WI 54241-9542
Phone number: 414-324-7502