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Individual
MS. KAITLYN N PUFAHL
Active
Individual
MS. KAITLYN N PUFAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4453
WI
364SP0200X
Pediatric Clinical Nurse Specialist
4453-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21319100
—
WI
Enumeration date
06/17/2011
Last updated
02/26/2025
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