Individual provider · Type 1 NPI
Kathleen M. Wackerle, NP
Nurse Practitioner · Madison, WI
Practice location
1833 Thorstrand Rd
Madison, WI 53705-1052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 93917 (WI) |
| Nurse Practitioner Primary | 363L00000X | 1339 (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 1336100718
Kathleen M. Wackerle, NP's National Provider Identifier is 1336100718, issued on Mar 28, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Madison, WI. The record was last updated on Sep 14, 2022.