Individual
KATHLEEN MARIE MAGNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-3187
(715) 735-5848
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1315033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43874000
—
WI
05
—
4626160
—
MI
05
—
4626170
—
MI
05
—
4626394
—
MI
Enumeration date
12/09/2005
Last updated
04/28/2026
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