Individual provider · Type 1 NPI
Katherine Andries Stodola, APNP
Gerontology Nurse Practitioner · Portage, WI
NPI number
1649557489
Active
Practice location
2425 New Pinery Rd, Suite 201
Portage, WI 53901-1300
Fax (866) 561-2682
Mailing address
2917 International Ln
Madison, WI 53704-3135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 148406-30 (WI) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4693-33 (WI) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1649557489
Katherine Andries Stodola, APNP's National Provider Identifier is 1649557489, issued on Nov 8, 2011. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portage, WI. The record was last updated on Nov 8, 2011.