Individual
KATHLEEN M ERDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 830-6877
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-6877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193346
WI
363LF0000X
Family Nurse Practitioner
Primary
8032
WI
Other
Enumeration date
06/02/2017
Last updated
08/10/2022
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