Individual
KATHRYN KAYE VANDREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193115-30
WI
163W00000X
Registered Nurse
2495232
MN
367A00000X
Advanced Practice Midwife
Primary
148909-32
WI
367A00000X
Advanced Practice Midwife
494
MN
Other
Enumeration date
06/09/2015
Last updated
03/17/2023
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