Individual
KAREN N LAYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8905 W LINCOLN AVE, WEST ALLIS, WI 53227-2468
(414) 978-2229
(414) 978-2279
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
82836
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36063000
—
WI
Enumeration date
03/20/2008
Last updated
10/09/2023
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