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Individual

NICOLE KATCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
20611 WATERTOWN RD, SUITE J, WAUKESHA, WI 53186-1871
(262) 928-5900
(262) 928-5925
Mailing address
20611 WATERTOWN RD, SUITE J, WAUKESHA, WI 53186-1871
(262) 928-5900
(262) 928-5925

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
153059-30
WI
363LF0000X
Family Nurse Practitioner
Primary
5490-33
WI

Other

Enumeration date
09/04/2013
Last updated
09/19/2013
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