Individual provider · Type 1 NPI

Katherine Ciminelli Waller, APNP

Pediatric Nurse Practitioner · New Berlin, WI

NPI number 1013525096 Active

Practice location

4855 S Moorland Rd Fl 3
New Berlin, WI 53151-7494

Fax (262) 432-7694

Mailing address

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X10304 (WI)

Pediatric Nurse Practitioner: Definition to come...

20 other providers at this address

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About NPI 1013525096

Katherine Ciminelli Waller, APNP's National Provider Identifier is 1013525096, issued on Jul 16, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New Berlin, WI. The record was last updated on Mar 9, 2022.