Individual
KRISTIN LYN WASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 741-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7723
WI
363LF0000X
Family Nurse Practitioner
209009711
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100187312
—
WI
Enumeration date
08/08/2012
Last updated
10/23/2023
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