Individual
KRISTEN S RODEHEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
11040 N STATE RD 77, HAYWARD, WI 54843-3606
(715) 934-4321
(715) 934-4273
Mailing address
11040 N STATE RD 77, HAYWARD, WI 54843-3606
(715) 934-4321
(715) 934-4273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
105507
WI
363LF0000X
Family Nurse Practitioner
Primary
1046-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43912000
—
WI
Enumeration date
07/26/2006
Last updated
11/24/2023
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