Individual
KIRSTEN CANAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
W63N545 HANOVER AVE, CEDARBURG, WI 53012-1917
(262) 421-5133
Mailing address
10264 W PARKEDGE CIR, FRANKLIN, WI 53132-1234
(570) 862-9650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12101-33
WI
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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