MEDICARE: KATHRYN H CHRONIS

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
1	363LF0000X	Family Nurse Practitioner	16460-33	WI

General Provider Information

NPI Number	:	1053268334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN H CHRONIS

Provider Business Mailing Address
First Line	:	1604 W 2ND AVE
Second Line	:
City	:	PORT WASHINGTON
State	:	WI
Zip	:	53074-2612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 W 2ND AVE
Second Line	:
City	:	PORT WASHINGTON
State	:	WI
Zip	:	53074-2612
Country	:	US
Telephone Number	:	920-203-9567
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

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Directions to “ KATHRYN H CHRONIS ” Practice Location

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