Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 5055-33 | WI |
NPI | 1003169673 |
---|---|
Provider Name | Carrie A Strompolis-Galle |
First Address | Platteville, WI 53818-9800 |
Second Address | Platteville, WI 53818-9800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2012 |
Last Update Date | 17/11/2020 |