Connely, Angela M

Connely, Angela M is an individual health care provider with primary practice located at 3111 Gunderson Rd , Onalaska WI 54650-8447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Connely, Angela M can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
3111 Gunderson Rd Onalaska WI 54650-8447
Phone: (608) 782-7300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 148807 Wisconsin

Profile Details

NPI number 1356544423
LBN Legal business name Connely, Angela M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356544423 NPPES
Wisconsin MEDICAID 36034200

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