Kathleen R Gendron in Appleton - Nurse Practitioner

Kathleen R Gendron - NPI 1558353276

Kathleen R Gendron is a Nurse Practitioner in Appleton, Wisconsin. Kathleen R Gendron practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kathleen R Gendron is 1558353276. The last update date is 2007-07-08.

Kathleen R Gendron's current location address is 5320 Michaels Dr, Appleton, Wisconsin. You can contact this provider via phone number 9208828200 and fax number 9208828210. The mailing address for Kathleen R Gendron is 5320 Michaels Dr, Appleton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen R Gendron
Address 5320 Michaels Dr, Appleton, Wisconsin
Phone Number 9208828200
Fax Number 9208828210
Sole Proprietor X
Credentials NP

NPI Number Detail

NPI Number 1558353276
Provider Enumeration Date 2005-08-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5320 Michaels Dr
City Appleton
State Wisconsin (WI)
Post Code 549138446
Phone Number 9208828200
Fax Number 9208828210

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 220003
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4387900 WI --

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FAQs about Kathleen R Gendron

What is the unique 10-digit identification code assigned to Kathleen R Gendron by the Centers for Medicare & Medicaid Services?

The Kathleen R Gendron has been issued the NPI (National Provider Identifier) 1558353276, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kathleen R Gendron is physically located?

The Kathleen R Gendron is situated at the following address: 5320 Michaels Dr, Appleton, WI 549138446.

What is Kathleen R Gendron's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kathleen R Gendron's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558353276 to Kathleen R Gendron?

The Centers for Medicare & Medicaid Services originally issued the 1558353276 to Kathleen R Gendron on 2005-08-18.

As of what date was the information pertaining to Kathleen R Gendron, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kathleen R Gendron, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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