Individual
KATIE N KOPINA BUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4907
WI
367A00000X
Advanced Practice Midwife
Primary
148863
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024838
—
WI
Enumeration date
05/29/2008
Last updated
08/28/2024
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