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Individual

KATRINA E BLETHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-CNP

Contact information

Practice address
2801 W KINNICKINNIC RIVER PKWY STE 260, MILWAUKEE, WI 53215-3631
(414) 649-6780
(414) 649-6030
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 260, MILWAUKEE, WI 53215-3631
(414) 649-6780
(414) 649-6030

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13143
WI
363L00000X
Nurse Practitioner
209-027812
IL
363L00000X
Nurse Practitioner
Primary
209027812
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100216415
WI
Enumeration date
09/15/2022
Last updated
03/30/2026
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