Individual
KRISTINE ELIZABETH RADTKE NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1940 N PROSPECT AVE APT 45, MILWAUKEE, WI 53202-1454
(608) 575-3458
Mailing address
1940 N PROSPECT AVE APT 45, MILWAUKEE, WI 53202-1454
(608) 575-3458
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
187744-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6436938869
—
WI
Enumeration date
12/12/2012
Last updated
12/26/2012
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