Individual
MS. KATHY LYNNE OBERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC APNP
Contact information
Practice address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
124228-30
WI
363L00000X
Nurse Practitioner
Primary
4408-33
WI
363LP2300X
Primary Care Nurse Practitioner
4408-33
WI
Other
Enumeration date
06/07/2011
Last updated
04/01/2025
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