Individual
KATELYN BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 HOMMEN RD, DEERFIELD, WI 53531-9678
(608) 577-7278
Mailing address
2675 N PARK LN APT 220, FITCHBURG, WI 53711-1698
(608) 577-7278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
261108
WI
Other
Enumeration date
06/15/2021
Last updated
07/15/2021
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