Individual
HEATHER AVELLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-5400
(262) 928-6140
Mailing address
PO BOX 708760, SANDY, UT 84070-8760
(801) 352-9500
(801) 352-7976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8257
WI
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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