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Individual

TERESA L KAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
6801 N YATES RD, MILWAUKEE, WI 53217-3945
(414) 410-4096
Mailing address
2575 N LEFEBER AVE, WAUWATOSA, WI 53213-1221
(414) 771-2141

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1024-033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0257616
ANCC
WI
01
79250-030
RN LICENSE
WI
Enumeration date
11/20/2006
Last updated
08/06/2009
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