Individual
KATHLEEN CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CRNA
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-5222
Mailing address
73 GROVE AVE, MAYWOOD, NJ 07607-2009
(201) 952-5441
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
13241
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209029091
IL
367500000X
Certified Registered Nurse Anesthetist
6296549
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275272650
—
WI
Enumeration date
06/02/2022
Last updated
10/01/2024
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