MEDICARE: KATHRYN PRICE RN

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	163W00000X	Registered Nurse	261782-30	WI

General Provider Information

NPI Number	:	1366388506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN PRICE RN

Provider Business Mailing Address
First Line	:	3003 W GOOD HOPE RD
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-2042
Country	:	US
Telephone Number	:	920-980-9723
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 W GOOD HOPE RD
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-2042
Country	:	US
Telephone Number	:	920-980-9723
Fax Number	:

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

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ KATHRYN PRICE RN” Practice Location

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