NPI 1033742580
Colleen Courtney, PAC
Practice location
- Address
- 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227
- Phone
- (262) 857-5400
- Mailing address
- 1723 Cherry CT, Lake Villa, IL 60046-5774
Registered specialties (2)
Physician Assistant
Primary
Surgical Physician Assistant
Registry record
- NPI
- 1033742580
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Feb 2020
- Record last updated
- 1 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.