Individual
TAMMY L LA ROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APNP
Contact information
Practice address
1111 8TH ST, BARABOO, WI 53913-1803
(877) 356-4514
(866) 553-0866
Mailing address
1111 8TH ST, BARABOO, WI 53913-1803
(877) 356-4514
(866) 553-0866
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4761-33
WI
Other
Enumeration date
04/08/2012
Last updated
04/08/2012
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