Individual
TIA MARIE VACCARO-MUSSEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3030 LAURA LN STE 130, MIDDLETON, WI 53562-1872
(888) 688-4746
Mailing address
3030 LAURA LN STE 130, MIDDLETON, WI 53562-1872
(888) 688-4746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F01201947
WI
363LF0000X
Family Nurse Practitioner
Primary
10116
WI
Other
Enumeration date
03/18/2020
Last updated
03/08/2023
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