Individual
KELLI I CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, RN
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
119236
WI
363L00000X
Nurse Practitioner
Primary
2223
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43994200
—
WI
Enumeration date
09/25/2006
Last updated
07/08/2007
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