Individual
MRS. ANGELINA ROSMARIE PALESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
12800 N LAKE SHORE DR, MEQUON, WI 53097-2418
(262) 243-4574
Mailing address
5530 W LAKE DR, WEST BEND, WI 53095-9144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3477-33
WI
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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