Individual
MRS. KATIE A GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
510 N 17TH AVE STE A, WAUSAU, WI 54401-4254
(715) 842-7707
Mailing address
150505 CRIMSON RD, WAUSAU, WI 54401-2309
(715) 572-8785
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9094-33
WI
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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