Individual
KATHERINE ANDRIES STODOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2425 NEW PINERY RD, SUITE 201, PORTAGE, WI 53901-1300
(608) 742-8900
(866) 561-2682
Mailing address
2917 INTERNATIONAL LN, MADISON, WI 53704-3135
(608) 240-0020
(608) 246-8428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
148406-30
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
4693-33
WI
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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