Individual
KATHRYN EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
959 N MAYFAIR RD, MILWAUKEE, WI 53226
(414) 955-7601
(414) 955-6020
Mailing address
959 N MAYFAIR RD, MILWAUKEE, WI 53226-3465
(414) 955-7601
(414) 955-6020
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
8436
WI
363LA2200X
Adult Health Nurse Practitioner
APN.0991790-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083094759
—
WI
Enumeration date
06/08/2015
Last updated
06/15/2018
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