Individual
KAITLYN MARY VAN ASTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
3634 STANFORD DR, NEW FRANKEN, WI 54229-9597
(920) 840-2897
Mailing address
3634 STANFORD DR, NEW FRANKEN, WI 54229-9597
(920) 840-2897
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223251-30
WI
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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