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Individual
KATIE EISELE
Active
Individual
KATIE EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
161889
WI
363LN0000X
Neonatal Nurse Practitioner
Primary
6549-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528435369
—
WI
Enumeration date
08/27/2015
Last updated
07/21/2022
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