Dattilo, Alexandria Colleen

Dattilo, Alexandria Colleen is an individual health care provider with primary practice located at 1114 56Th St , Kenosha WI 53140-3668. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Dattilo, Alexandria Colleen can be contacted via phone (262) 725-4426.

Contact Information

Primary practice address
1114 56Th St Kenosha WI 53140-3668
Phone: (262) 725-4426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11876-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11876-33 Wisconsin

Profile Details

NPI number 1497493845
LBN Legal business name Dattilo, Alexandria Colleen
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2022
Last updated Dec 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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