Healthcare Provider Details

I. General information

NPI: 1255247136
Provider Name (Legal Business Name): GIANNA MAY KORNAUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W6127 LORNA LN
APPLETON WI
54915-7465
US

IV. Provider business mailing address

W6127 LORNA LN
APPLETON WI
54915-7465
US

V. Phone/Fax

Practice location:
  • Phone: 920-840-3033
  • Fax: 920-882-4009
Mailing address:
  • Phone: 920-840-3033
  • Fax: 920-882-4009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: