Individual
KIRSTEN HOLLY MACGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
940 S SAINT AUGUSTINE ST, PULASKI, WI 54162-9453
(920) 822-5444
Mailing address
940 S SAINT AUGUSTINE ST, PULASKI, WI 54162-9453
(920) 883-1232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
170420
WI
363L00000X
Nurse Practitioner
Primary
8628-33
WI
Other
Enumeration date
06/19/2018
Last updated
09/13/2018
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