Individual
KATIE L PRUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1855 S KOELLER ST, OSHKOSH, WI 54902-6186
(920) 223-7010
Mailing address
W165N5595 CREEKWOOD XING, MENOMONEE FALLS, WI 53051-0685
(262) 252-1050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
174355
WI
363LF0000X
Family Nurse Practitioner
Primary
5980-33
WI
Other
Enumeration date
09/03/2014
Last updated
02/10/2023
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