Individual
KATELYN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 N 92ND ST, MILWAUKEE, WI 53226-1202
(414) 805-3000
Mailing address
7612 W WISCONSIN AVE, WAUWATOSA, WI 53213-3528
(763) 218-6042
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
15985
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689401580
—
WI
Enumeration date
09/16/2024
Last updated
10/17/2024
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