Healthcare Provider Details

I. General information

NPI: 1346106853
Provider Name (Legal Business Name): ERIN KIRKPATRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 ECLIPSE CTR
BELOIT WI
53511-3550
US

IV. Provider business mailing address

1110 W DELAVAN DR
JANESVILLE WI
53546-5302
US

V. Phone/Fax

Practice location:
  • Phone: 608-361-0311
  • Fax:
Mailing address:
  • Phone: 608-931-3821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17752
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: