Individual
KATHERINE A FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3305 S 20TH ST STE 100, MILWAUKEE, WI 53215-4940
(414) 645-1984
Mailing address
3305 S 20TH ST STE 100, MILWAUKEE, WI 53215-4940
(414) 645-1984
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7169-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154876175
—
WI
Enumeration date
08/19/2016
Last updated
02/13/2023
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