Totero, Colleen M

Totero, Colleen M is an individual health care provider with primary practice located at 5923 Green Bay Rd , Kenosha WI 53144-3737. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Totero, Colleen M can be contacted via phone (262) 652-0500.

Contact Information

Primary practice address
5923 Green Bay Rd Kenosha WI 53144-3737
Phone: (262) 652-0500
Fax: (262) 652-1928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1552 Wisconsin

Profile Details

NPI number 1366452005
LBN Legal business name Totero, Colleen M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Nov 30th, 2021 - about 3 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 1366452005 NPPES
Wisconsin MEDICAID 43931500

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