Individual
MISS KATHRYN VALUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
159134-30
WI
363L00000X
Nurse Practitioner
Primary
4757-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407129893
—
WI
Enumeration date
02/15/2012
Last updated
01/07/2020
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