MEDICARE: KYLEE ANGLEMYER

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	363L00000X	Nurse Practitioner	5384-33	WI

General Provider Information

NPI Number	:	1497166995
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLEE ANGLEMYER

Provider Business Mailing Address
First Line	:	2829 COUNTY HIGHWAY I STE 2C
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-2678
Country	:	US
Telephone Number	:	715-861-2300
Fax Number	:	715-861-2302

Provider Business Practice Location Address
First Line	:	2829 COUNTY HIGHWAY I STE 2C
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-2678
Country	:	US
Telephone Number	:	715-861-2300
Fax Number	:

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

Provider Enumeration Date	:	05/19/2014
Last Update Date	:	03/23/2022

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Directions to “ KYLEE ANGLEMYER ” Practice Location

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