Individual
KATHLEEN MARY NIEZGODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CPNP, PMHS
Contact information
Practice address
2500 W LAYTON AVE, SUITE 30, MILWAUKEE, WI 53221-5420
(414) 269-5336
(414) 269-5437
Mailing address
2500 W LAYTON AVE, SUITE 30, MILWAUKEE, WI 53221-5420
(414) 269-5336
(414) 269-5437
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5744-33
WI
Other
Enumeration date
10/31/2014
Last updated
08/30/2016
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