Provider Demographics
NPI:1609192939
Name:APONTE QUALLER, JOANNE (ND)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:
Last Name:APONTE QUALLER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:APONTE
Other - Last Name:QUALLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:995 SIMON DRIVE
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:237 W CEDAR VALLEY RD
Practice Address - Street 2:
Practice Address - City:DELAFIELD
Practice Address - State:WI
Practice Address - Zip Code:53018-1760
Practice Address - Country:US
Practice Address - Phone:262-225-5882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6009-170175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath