Individual
MUTSA VOLLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8000
Mailing address
9555 76TH ST, PLEASANT PRAIRIE, WI 53158-1984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15015-33
WI
363LF0000X
Family Nurse Practitioner
209019491
IL
Other
Enumeration date
12/12/2019
Last updated
02/22/2024
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