Individual
KATARINA NICOLE ELYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
6611 SPRING ST, MOUNT PLEASANT, WI 53406-2632
(262) 504-3100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10516
WI
363LG0600X
Gerontology Nurse Practitioner
10516-33
WI
363LG0600X
Gerontology Nurse Practitioner
209023339
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177387
—
WI
Enumeration date
04/05/2021
Last updated
12/18/2025
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