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NPI Code Detail

MEDICARE: KATHERINE MEINE CNM, PMHNP

MEDICARE:   KATHERINE  MEINE  CNM, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse170811WI
2367A00000XAdvanced Practice Midwife148839-32WI
3363LP0808XPsychiatric/Mental Health Nurse Practitioner4003WI

General Provider Information

NPI Number : 1902136047
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MEINE CNM, PMHNP
Provider Business Mailing Address
First Line : 12970 W BLUEMOUND RD STE 200
Second Line :
City : ELM GROVE
State : WI
Zip : 53122-2607
Country : US
Telephone Number : 608-347-2297
Fax Number :
Provider Business Practice Location Address
First Line : 930 E KNAPP ST STE 34
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-2800
Country : US
Telephone Number : 608-347-2297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2010
Last Update Date : 02/04/2022

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Directions to “ KATHERINE MEINE CNM, PMHNP” Practice Location

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