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NPI Code Detail

MEDICARE: KATIE A MCINTOSH

MEDICARE: KATIE A MCINTOSH
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
1363LA2100XAcute Care Nurse Practitioner2024061194WI

General Provider Information

NPI Number : 1326878117
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE A MCINTOSH
Provider Business Mailing Address
First Line : 3766 S SUNSET DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53220-1821
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2900 W OKLAHOMA AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-4330
Country : US
Telephone Number : 414-649-7299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 12/05/2025

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Directions to “ KATIE A MCINTOSH ” Practice Location

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