Individual
KATELYN LOTHARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 VETERANS ROAD, STOUGHTON, WI 53589-3007
(608) 290-9356
Mailing address
1111 VETERANS ROAD, STOUGHTON, WI 53589-3007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10278
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10278
ADVANCED PRACTICE NURSE PRESCRIBER LICENSE
WI
01
—
224428
REGISTERED NURSE LICENSE
WI
Enumeration date
10/13/2020
Last updated
08/12/2025
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