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KRISTIN LEIGH DOCTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
225 CHURCH ST, STOUGHTON, WI 53589-1801
(608) 877-2777
(608) 877-2774
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041429640
IL
163W00000X
Registered Nurse
198855
WI
363L00000X
Nurse Practitioner
209017967
IL
363L00000X
Nurse Practitioner
Primary
9317-33
WI
363LF0000X
Family Nurse Practitioner
9317-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205312923
WI
Enumeration date
07/16/2018
Last updated
11/10/2020
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