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Cory Katsma, RN

Registered Nurse in West Bend, WI. Individual provider (NPI-1).

NPI number1871018564
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1871018564
Entity type
Individual (NPI-1)
Name
Cory Katsma
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2017
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse243446-30WIYes
164W00000X Licensed Practical Nurse321915-31WI

Practice location

7395 Frederick Pl
West Bend, WI 53090-8643

Phone 262-339-8093

Mailing address

7395 Frederick Pl
West Bend, WI 53090-8643

Phone 262-339-8093

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