Connie Lee Worm

NPI #1104044395 in Sheboygan, Wisconsin

Provider Information

NPI Number
1104044395
Entity Type
Individual
Name
Connie Lee Worm
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Apr 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2108 KOHLER MEMORIAL DR
ZIP Code
53081-3100
Phone
(920) 458-9401

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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