Individual
MS. KATHRYN A. TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC CARDIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6457
(414) 266-2294
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC CARDIOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6457
(414) 266-2294
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
156144
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861658502
—
WI
Enumeration date
08/01/2008
Last updated
11/01/2012
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