Individual provider · Type 1 NPI

Mikayla Lynn Boettner, APNP

Nurse Practitioner · Whitewater, WI

NPI number 1013616473 Active

Practice location

1305 W Main St
Whitewater, WI 53190-1503

Fax (262) 472-7691

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X13437 (WI)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013616473

Mikayla Lynn Boettner, APNP's National Provider Identifier is 1013616473, issued on Feb 24, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Whitewater, WI. The record was last updated on Mar 2, 2023.