Doctor Name: | MRS. DOREEN ELISE COX |
NPI Number: | 1003174871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN BSN |
License Number: | 102413-30 |
Business Practice Address: | 1407 Saint Andrew St Suite 100 La Crosse, WI - 546033301 |
Business Phone Number: | 6087856266 |
Business Fax Number: | |
Mailing Address: | 20522 10th Ct, GALESVILLE |
State: | WI |
Postal Code: | 546307158 |
Phone Number: | 9209260729 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2012 |
NPI Last Update Date: | 04/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 102413-30 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |