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Individual

CAROLYN J KLOTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
13255 W BLUEMOUND RD, SUITE 103, BROOKFIELD, WI 53005-6245
(262) 796-0600
(262) 796-0700
Mailing address
13255 W BLUEMOUND RD, SUITE 103, BROOKFIELD, WI 53005-6245
(262) 796-0600
(262) 796-0700

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4675-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4675-33
WI

Other

Enumeration date
05/28/2009
Last updated
08/15/2025
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