Individual
KATHERINE SHANON MCQUILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-2131
Mailing address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-2131
(608) 723-2707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4494-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4494-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016627
—
WI
05
—
100370402
—
WI
Enumeration date
08/09/2011
Last updated
09/23/2025
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