Individual
KAYLINN ANNE MUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2316
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 741-2316
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
147828
WI
363LF0000X
Family Nurse Practitioner
147828-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100006987
—
WI
01
—
P00823742
RR MEDICARE
WI
Enumeration date
11/16/2009
Last updated
11/17/2023
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