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Individual

ANNE MEREDITH LAROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145
Mailing address
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
152765
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801110184
WI
Enumeration date
03/16/2010
Last updated
07/25/2013
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