Individual
KATHERINE MARIE DOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP
Contact information
Practice address
6255 UNIVERSITY AVE STE 204, MIDDLETON, WI 53562-3485
(608) 819-8544
Mailing address
6255 UNIVERSITY AVE STE 204, MIDDLETON, WI 53562-3485
(608) 819-8544
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7721
WI
Other
Enumeration date
06/22/2017
Last updated
05/02/2024
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