Healthcare Provider Details

I. General information

NPI: 1164337796
Provider Name (Legal Business Name): KATIE MARIE ENGELBERT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 WHITE ST
OAKFIELD WI
53065-9782
US

IV. Provider business mailing address

N3831 US HIGHWAY 151
OAKFIELD WI
53065-9527
US

V. Phone/Fax

Practice location:
  • Phone: 920-583-3146
  • Fax: 920-583-3820
Mailing address:
  • Phone: 972-984-9114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number239328-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: