Individual
JOSEPH AUGUSTINE LA FAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2500 OVERLOOK TERRRACE, MADISON, WI 53705
(608) 256-1901
Mailing address
2500 OVERLOOK TERRRACE, MADISON, WI 53705
(608) 256-1901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10181-33
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
128507
WI
Other
Enumeration date
06/08/2020
Last updated
04/15/2026
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