Provider Demographics
NPI:1760751655
Name:TEMPESTA, AUBREY D (CAC)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:D
Last Name:TEMPESTA
Suffix:
Gender:F
Credentials:CAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 OAKTON AVE
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-3430
Mailing Address - Country:US
Mailing Address - Phone:414-581-4247
Mailing Address - Fax:
Practice Address - Street 1:234 OAKTON AVE
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-3430
Practice Address - Country:US
Practice Address - Phone:414-581-4247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI748-55171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist