Most Relevant Information
Provider Data
| NPI Number: | 1003523705 |
| Provider Name: | CALLIE COLWELL RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA0400X |
| Specialty: | Registered Nurse |
| License Number: | 259034 |
Most Important Dates
| Enumeration Date: | 11/01/2022 |
| Last Updated: | 11/01/2022 |
Provider Practice Location
3825 39TH AVE STE 120
KENOSHA
WI
531442043
Practice Location Phone/Fax
| Phone: | 6294657522 |
| Fax: |
Provider Mailing Location
3825 39TH AVE STE 120
KENOSHA
WI
531442043
Provider Mailing Phone/Fax
| Phone: | 6294657522 |
| Fax: |