Provider Demographics
NPI:1780834184
Name:D'ACQUISTO, ANNETTE JOYCE (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:JOYCE
Last Name:D'ACQUISTO
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1552 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53726-4084
Mailing Address - Country:US
Mailing Address - Phone:608-262-7991
Mailing Address - Fax:608-890-2203
Practice Address - Street 1:1552 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53726-4084
Practice Address - Country:US
Practice Address - Phone:608-262-7991
Practice Address - Fax:608-890-2203
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI76600-030163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health