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Ms. Kelly Marie Quandt, NURSEPRACTITIONER
Nurse Practitioner in Mequon, Wisconsin
NPI 1538462650

Kelly Marie Quandt is a Nurse Practitioner based in Chicago, WI. Kelly Marie Quandt practices in Mequon, WI and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Kelly Marie Quandt is 1538462650 and holds a License No. 4290-33 (Wisconsin).

The current practice location address for Kelly Marie Quandt is 11270 N Port Washington Rd, Mequon, WI and can be reached out via phone at 262-241-1022.

Location: 11270 N Port Washington Rd, Mequon, WI, 60673-5044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538462650
Provider Name
Kelly Marie Quandt
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
11270 N Port Washington Rd, Mequon, WI, 60673-5044
Phone Number
262-241-1022
Fax Number
Provider Enumeration Date
12/11/2010
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100014882 05 WI
institution
Provider Business Practice Location Address Details
Address
11270 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-3410
Phone Number
262-241-1022
Fax Number
person
Provider Business Mailing Address Details
Address
11270 N Port Washington Rd
City
Mequon
State
Wisconsin
Zip
53092-3410
Phone Number
262-241-1022
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4290-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4290-33 (Wisconsin)
Definition
Definition to come...
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