Individual
KARLEE FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E TRILLIUM CT, MEQUON, WI 53092-6100
(262) 358-1024
Mailing address
115 E TRILLIUM CT, MEQUON, WI 53092-6100
(262) 358-1024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168636
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
6794
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064337
—
WI
Enumeration date
11/30/2015
Last updated
08/08/2024
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