Individual
KATIE M LEWELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
7102 MINERAL POINT RD, MADISON, WI 53717-1706
(608) 828-7611
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4816-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154687143
—
WI
Enumeration date
04/04/2012
Last updated
03/07/2023
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