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Katie Boerst, FNP

Nurse Practitioner, Family in Appleton, WI. Individual provider (NPI-1).

NPI number1154067239
StatusActive
Last updated in NPPESAug 2, 2022

Details

NPI
1154067239
Entity type
Individual (NPI-1)
Name
Katie Boerst
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
May 11, 2022
Certification date
Aug 2, 2022
Last updated
Aug 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family13024-33WIYes
163W00000X Registered Nurse220741-30WI

Practice location

W5282 Amy Ave
Appleton, WI 54915-7233

Phone 920-358-1900

Mailing address

414 W 5th St
Appleton, WI 54911-6006

Phone 920-764-0132

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