ALEXANDRIA COLLEEN DATTILO

KENOSHA, WI
NPI1497493845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WI  11876-33)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WI  11876-33)
Enumeration Date2022-05-25
Last Update Date2023-12-13
Business Address
ALEXANDRIA COLLEEN DATTILO APNP
1114 56TH ST
KENOSHA, WI 53140-3668
Phone number: 262-725-4426
Mailing Address
ALEXANDRIA COLLEEN DATTILO APNP
1114 56TH ST
KENOSHA, WI 53140-3668
Phone number: 262-725-4426