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Kaitlin Rose Grigoryev
Family Nurse Practitioner in Germantown, Wisconsin
NPI 1619601770

Kaitlin Rose Grigoryev is a Family Nurse Practitioner based in Glendale, WI and is specialized in Family. Kaitlin Rose Grigoryev practices in Germantown, WI. The NPI Number for Kaitlin Rose Grigoryev is 1619601770 and holds a License No. 13152 (Wisconsin).

The current practice location address for Kaitlin Rose Grigoryev is N112W15415 Mequon Rd, Germantown, WI and can be reached out via phone at 262-250-7800.

Location: N112W15415 Mequon Rd, Germantown, WI, 53212-1060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619601770
Provider Name
Kaitlin Rose Grigoryev
Credential
Provider Entity Type
Individual
Gender
Female
Address
N112W15415 Mequon Rd, Germantown, WI, 53212-1060
Phone Number
262-250-7800
Fax Number
Provider Enumeration Date
07/14/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
N112W15415 Mequon Rd
City
Germantown
State
Wisconsin
Zip
53022-3410
Phone Number
262-250-7800
Fax Number
person
Provider Business Mailing Address Details
Address
N112W15415 Mequon Rd
City
Germantown
State
Wisconsin
Zip
53022-3410
Phone Number
262-250-7800
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
13152 (Wisconsin)
Definition
Definition to come...
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