Individual
AUDREY ANNA KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
8905 W LINCOLN AVE, WEST ALLIS, WI 53227-2468
(414) 328-8650
(414) 328-8660
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
09000377A
IN
367A00000X
Advanced Practice Midwife
Primary
15367
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281852
—
WI
05
—
300053006
—
IN
Enumeration date
06/29/2021
Last updated
09/13/2024
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