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Individual

CARLA M VOSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
550 MARTIN AVE W, TURTLE LAKE, WI 54889-9069
(715) 986-4101
(715) 986-4033
Mailing address
550 MARTIN AVE W, TURTLE LAKE, WI 54889-9069
(715) 986-4101

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200450094NP FNP PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105858-30
WIS RN LICENSE
WI
05
32862100 PROV GROUP
WI
01
3334-33
WISCONSIN APNP LICENSE
WI
05
36056700
WI
Enumeration date
12/11/2006
Last updated
02/26/2008
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