Individual
RILEY FUGIASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4540 CORAL DR, BROOKFIELD, WI 53045-1327
(262) 312-4238
Mailing address
PO BOX 474, HARTLAND, WI 53029-0474
(262) 875-5070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15068-33
WI
Other
Enumeration date
02/21/2024
Last updated
10/23/2024
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