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Individual

KRISTI AMBER HASENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9912
WI
363LF0000X
Family Nurse Practitioner
9912-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100097726
WI
Enumeration date
02/25/2020
Last updated
05/07/2024
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