Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carissa Ann Coorough, PA

Individual provider Physician Assistant · NPI 1588949333

Carissa Ann Coorough, PA is a Physician Assistant in Green Bay, Wisconsin. Works from 3 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

720 S Van Buren St Ste 301
Green Bay, WI 54301-3534
Phone: (920) 433-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1836 South Ave, La Crosse, WI 54601-5429 — (608) 782-7300
  • 1836 South Ave, La Crosse, WI 54601-5429 — (608) 782-7300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2872-23 (WI)

Record details

NPI number1588949333
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESJuly 11, 2018

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