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Individual

MS. KAITLYN N PUFAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
109 WARREN ST STE 4, BEAVER DAM, WI 53916-3082
(920) 885-3305
(920) 885-5506
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4453
WI
364SP0200X
Pediatric Clinical Nurse Specialist
4453-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21319100
WI
Enumeration date
06/17/2011
Last updated
02/26/2025
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