Individual provider · Type 1 NPI

Kathleen Marie Elertson, NP

Nurse Practitioner · Shawano, WI

NPI number 1396104725 Active

Practice location

100 County Road B
Shawano, WI 54166-7072

Mailing address

4939 Morning Glory Dr
West Bend, WI 53095-8758

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3598-033 (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 1396104725

Kathleen Marie Elertson, NP's National Provider Identifier is 1396104725, issued on Feb 12, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shawano, WI. The record was last updated on Dec 2, 2021.