Individual
KAREN KOMORNICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
8520 W OKLAHOMA AVE, MILWAUKEE, WI 53227-4604
(414) 607-4100
(414) 607-4502
Mailing address
3023 S 84TH ST, MILWAUKEE, WI 53227-3703
(414) 607-4100
(414) 607-4502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102451
WI
163WC1600X
Continuing Education/Staff Development Registered Nurse
102451
WI
163WC2100X
Continence Care Registered Nurse
102451
WI
163WG0000X
General Practice Registered Nurse
102451
WI
163WG0600X
Gerontology Registered Nurse
102451
WI
163WW0000X
Wound Care Registered Nurse
102451
WI
163WX1500X
Ostomy Care Registered Nurse
102451
WI
363L00000X
Nurse Practitioner
799
WI
363LA2200X
Adult Health Nurse Practitioner
799
WI
363LF0000X
Family Nurse Practitioner
Primary
799
WI
363LG0600X
Gerontology Nurse Practitioner
799
WI
364SL0600X
Long-Term Care Clinical Nurse Specialist
799
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102451
STATE LICENSE RN
WI
01
—
799
STATE LICENSE NP
WI
Enumeration date
09/29/2005
Last updated
03/07/2023
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