MEDICARE: KATHLEEN MARIE BOETTCHER

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	6578	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568838951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN MARIE BOETTCHER

Provider Business Mailing Address
First Line	:	PO BOX 735044
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5044
Country	:	US
Telephone Number	:	800-326-2250
Fax Number	:

Provider Business Practice Location Address
First Line	:	5300 MEMORIAL DR
Second Line	:
City	:	TWO RIVERS
State	:	WI
Zip	:	54241-3923
Country	:	US
Telephone Number	:	920-793-7337
Fax Number	:	920-793-6589

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

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	06/02/2026

Similar Medicare Providers

1477558724 — GREGORY L WOODFILL DO
Practice Location Address:

5300 MEMORIAL DR
TWO RIVERS, WI
54241-3923

Practice Phone: 920-793-7300
Practice Fax: 920-793-7391

1114962248 — DR. STEVEN BRADLEY GOLDIN MD PHD MPH CPH
Practice Location Address:

5300 MEMORIAL DR
TWO RIVERS, WI
54241-3923

Practice Phone: 920-793-7300
Practice Fax:

1578592572 — JUDITH ARNOLD MD
Practice Location Address:

5300 MEMORIAL DR
TWO RIVERS, WI
54241-3923

Practice Phone: 920-793-7421
Practice Fax:

1558395772 — AURORA PHARMACY INC
Practice Location Address:

5300 MEMORIAL DR , SUITE 103
TWO RIVERS, WI
54241-3923

Practice Phone: 920-793-7380
Practice Fax: 920-793-7381

1972524718 — AURORA HEALTH CARE VENTURES, INC.
Practice Location Address:

5300 MEMORIAL DR , SUITE 200
TWO RIVERS, WI
54241-3923

Practice Phone: 920-793-7515
Practice Fax: 920-793-7516

1578586368 — ANDREW W YETTER MD
Practice Location Address:

5300 MEMORIAL DR
TWO RIVERS, WI
54241-3923

Practice Phone: 920-793-7300
Practice Fax:

Directions to “ KATHLEEN MARIE BOETTCHER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.