Individual
KATHRYN ELIZABETH TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
(715) 346-5101
Mailing address
3110 WILSON AVE APT 4, PLOVER, WI 54467-3689
(715) 204-6251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
247973-30
WI
Other
Enumeration date
11/16/2021
Last updated
12/03/2024
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