Individual
KATIE E VANGOETHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
601 S CENTER AVE, MERRILL, WI 54452-3404
(715) 536-5511
Mailing address
601 S CENTER AVE, MERRILL, WI 54452-3404
(715) 536-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8374
WI
363LF0000X
Family Nurse Practitioner
Primary
8374
WI
Other
Enumeration date
08/14/2018
Last updated
06/07/2021
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