Individual
MRS. KIRSTEN SARAH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 MAPLE AVE, MUKWONAGO, WI 53149-8475
(262) 363-1900
Mailing address
240 MAPLE AVE, MUKWONAGO, WI 53149-8475
(262) 363-1900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9157-33
WI
Other
Enumeration date
07/31/2019
Last updated
10/24/2019
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