Individual
ASHLEY LAUREN BUSALACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10303 W WISCONSIN AVE, WAUWATOSA, WI 53226-3542
(262) 339-2718
Mailing address
10303 W WISCONSIN AVE, WAUWATOSA, WI 53226-3542
(262) 339-2718
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
168384-30
WI
163WH0200X
Home Health Registered Nurse
Primary
168384-30
WI
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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