Individual
MRS. KATIE SUE BRUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1020 S TAYLOR DR, SHEBOYGAN, WI 53081-4773
(920) 496-4700
Mailing address
1020 S TAYLOR DR, SHEBOYGAN, WI 53081-4773
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007-33
WI
Other
Enumeration date
09/10/2012
Last updated
01/28/2026
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