| Doctor Name: | TERRI ANN SORG |
| NPI Number: | 1568421261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 72786030 |
| Business Practice Address: | 9456 Howery Rd Mount Horeb, WI - 535721124 |
| Business Phone Number: | 6087982337 |
| Business Fax Number: | |
| Mailing Address: | N2351 County Rd N, LYNDON STATION |
| State: | WI |
| Postal Code: | 539449715 |
| Phone Number: | 6086664313 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 72786030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |