Individual provider · Type 1 NPI

Jeffrey Merle Fosso, RN

Addiction (Substance Use Disorder) Registered Nurse · Waukesha, WI

NPI number 1295949006 Active

Practice location

2422 North Grandview Blvd
Waukesha, WI 53188

Fax (262) 549-6698

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400XNone listed

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1295949006

Jeffrey Merle Fosso, RN's National Provider Identifier is 1295949006, issued on May 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Waukesha, WI. The record was last updated on Jul 8, 2007.