Individual
KIMBERLY A SPITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 434-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3638
WI
363LF0000X
Family Nurse Practitioner
111347
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013296
—
WI
Enumeration date
01/10/2011
Last updated
11/24/2023
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