Provider Demographics
NPI:1225427438
Name:MORLEY, CAROLE L
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:L
Last Name:MORLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 ERB RD
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-8996
Mailing Address - Country:US
Mailing Address - Phone:608-712-8822
Mailing Address - Fax:
Practice Address - Street 1:2021 ERB RD
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:WI
Practice Address - Zip Code:53593-8996
Practice Address - Country:US
Practice Address - Phone:608-712-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI79266 030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse