Kim A Mittelstadt in Appleton - Nurse Practitioner
Kim A Mittelstadt - NPI 1710172614
Kim A Mittelstadt is a Nurse Practitioner in Appleton, Wisconsin. Kim A Mittelstadt practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Kim A Mittelstadt is 1710172614. The last update date is 2015-04-29.
Kim A Mittelstadt's current location address is 2500 E Capitol Dr, Appleton, Wisconsin. You can contact this provider via phone number 9207349600 and fax number 9207344773. The mailing address for Kim A Mittelstadt is 2500 E Capitol Dr, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim A Mittelstadt |
|---|---|
| Address | 2500 E Capitol Dr, Appleton, Wisconsin |
| Phone Number | 9207349600 |
| Fax Number | 9207344773 |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1710172614 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2015-04-29 |
Provider Mailing Address Detail
| Address | 2500 E Capitol Dr |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549118735 |
| Phone Number | 9207349600 |
| Fax Number | 9207344773 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 3159-033 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1710172614 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kim A Mittelstadt by the Centers for Medicare & Medicaid Services (CMS)?
The Kim A Mittelstadt has been assigned the NPI (National Provider Identifier) 1710172614. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Kim A Mittelstadt is geographically located?
The Kim A Mittelstadt is physically situated at the following location: 2500 E Capitol Dr, Appleton, WI, 549118735.
What is Kim A Mittelstadt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kim A Mittelstadt is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
When did the Kim A Mittelstadt receive its 1710172614?
The Kim A Mittelstadt was issued its 1710172614 on 2007-09-13, which is the date when the organization was assigned this unique identifier.
When was the Kim A Mittelstadt's information last updated?
The Kim A Mittelstadt's information was last updated on 2015-04-29.