Doctor Name: | CARLA M VOSSEN |
NPI Number: | 1861552010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 200450094NP FNP PP |
Business Practice Address: | 550 Martin Ave W Turtle Lake, WI - 548899069 |
Business Phone Number: | 7159864101 |
Business Fax Number: | 7159864033 |
Mailing Address: | 550 Martin Ave W, TURTLE LAKE |
State: | WI |
Postal Code: | 548899069 |
Phone Number: | 7159864101 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 200450094NP FNP PP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |