Individual
KRISTINE M. ZINKGRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 AMERICAN AVE FL CENTER3, PROHEALTH CARE MEDICAL ASSOCAITES INC., WAUKESHA, WI 53188-5031
(262) 928-3500
(262) 544-0382
Mailing address
N17W24100 RIVERWOOD DR STE 250, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53188-1177
(262) 928-4100
(262) 928-5835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
662
WI
364SA2200X
Adult Health Clinical Nurse Specialist
662
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235385097
—
WI
Enumeration date
08/13/2008
Last updated
12/03/2018
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