Corinne Bricco

Individual provider Active NPI Case Manager/Care Coordinator · Shawano, WI

NPI 1629404355 · NPPES record last updated Sep 26, 2013

Key facts

NPI
1629404355
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
504 Lakeland Rd
Shawano, WI 54166-3836
Phone
(715) 526-5547
Fax
(715) 526-5542
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

504 Lakeland Rd
Shawano, WI 54166-3836

Mailing address

504 Lakeland Rd
Shawano, WI 54166-3836
Phone (715) 526-5547

Other providers in Shawano, WI

All providers in Shawano, WI · Case Manager/Care Coordinator in Wisconsin

Sources for this page

Verify at the official NPI Registry.