Individual
MISS KATIE LYNN MORTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KATIE MORTIER
Contact information
Practice address
10421 W DARNEL AVE, MILWAUKEE, WI 53224-2648
(920) 277-6146
Mailing address
10421 W DARNEL AVE, MILWAUKEE, WI 53224-2648
(920) 277-6146
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
149864-030
WI
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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