person
Theresa Kohlrusch, NP
Pediatric Nurse Practitioner in Amery, Wisconsin
NPI 1134127319

Theresa Kohlrusch is a Pediatric Nurse Practitioner based in Amery, WI and is specialized in Pediatrics. Theresa Kohlrusch practices in Amery, WI and has the professional credentials of NP. The NPI Number for Theresa Kohlrusch is 1134127319 and holds a License No. 858 (Wisconsin).

The current practice location address for Theresa Kohlrusch is 265 Griffin St E, Amery, WI and can be reached out via phone at 715-268-8000 and via fax at 715-268-0311.

Location: 265 Griffin St E, Amery, WI, 54001
person
Provider Profile Details
NPI Number
1134127319
Provider Name
Theresa Kohlrusch
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
265 Griffin St E, Amery, WI, 54001
Phone Number
715-268-8000
Fax Number
715-268-0311
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00496 01 WI MEDICARE GROUP
1027253 01 PREFERRED ONE
43826100 05 WI
500025737 01 PALMETTO GBA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
265 Griffin St E
City
State
Zip
54001-1439
Phone Number
715-268-8000
Fax Number
715-268-0311
person
Provider Business Mailing Address Details
Address
265 Griffin St E
City
State
Zip
54001-1439
Phone Number
715-268-8000
Fax Number
715-268-0311
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
858 (Wisconsin)
Definition
Definition to come...
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