Individual
ANGELA JOANNE BUSALACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1321 S 114TH ST, WEST ALLIS, WI 53214-2235
(414) 426-6452
Mailing address
1321 S 114TH ST, WEST ALLIS, WI 53214-2235
(414) 426-6452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
177987-30
WI
363LF0000X
Family Nurse Practitioner
Primary
16050-33
WI
Other
Enumeration date
04/05/2012
Last updated
10/24/2024
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