Individual
SALLY LAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6801 N YATES RD, CARDINAL STRITCH STUDENT HEALTH CENTER, MILWAUKEE, WI 53217-3945
(414) 410-4854
(414) 410-4094
Mailing address
6801 N YATES RD, CARDINAL STRITCH STUDENT HEALTH CENTER, MILWAUKEE, WI 53217-3945
(414) 410-4854
(414) 410-4094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
927
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39875900
—
WI
Enumeration date
11/01/2006
Last updated
02/03/2014
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