Karoline Lynn Canada, NP
Nurse Practitioner, Pediatrics in Madison, WI. Individual provider (NPI-1).
NPI number1275920852
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1275920852
- Entity type
- Individual (NPI-1)
- Name
- Karoline Lynn Canada
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2015
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 6397-33 | WI | Yes |
| 163W00000X | Registered Nurse | 165043-30 | WI |
Practice location
600 Highland AveMadison, WI 53792-0001
Phone 608-263-6420 · Fax 608-265-8065
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
Phone 608-829-5485 · Fax 608-833-0999
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