Provider Demographics
NPI:1184870529
Name:JARAMILLO, ANNE ELIZABETH (AUD)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:ELIZABETH
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:ELIZABETH
Other - Last Name:MUDLAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:10945 N PORT WASHINGTON ROAD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092
Mailing Address - Country:US
Mailing Address - Phone:262-241-8000
Mailing Address - Fax:262-242-8096
Practice Address - Street 1:10945 N PORT WASHINGTON ROAD
Practice Address - Street 2:SUITE 211
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092
Practice Address - Country:US
Practice Address - Phone:262-241-8000
Practice Address - Fax:262-242-8096
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI556-156231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist