Individual provider · NPI-1
Rosaoleana Aguilar Audeo
Nurse Practitioner, Family · Milwaukee, WI
NPI number1417301565
StatusActive
Last updated in NPPESOct 4, 2016
Details
- NPI
- 1417301565
- Entity type
- Individual (NPI-1)
- Name
- Rosaoleana Aguilar Audeo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2016
- Last updated
- Oct 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 6695-33 | WI | Yes |
Practice location
209 W Orchard StMilwaukee, WI 53204-2957
Phone 414-647-7466 · Fax 414-527-7630
Mailing address
209 W Orchard StMilwaukee, WI 53204-2957
Phone 414-647-7466 · Fax 414-527-7630
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