Katie Woldt
Individual provider Active NPI Registered Nurse · Little Chute, WI
NPI 1366809758 · NPPES record last updated Jan 15, 2016
Key facts
- NPI
- 1366809758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 197056 (WI)
- Practice address
- 1502 Biscayne Dr
Little Chute, WI 54140-1006 - Phone
- (920) 277-3454
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197056 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 197056 | WI | Yes |
Addresses
Primary practice location
1502 Biscayne Dr
Little Chute, WI 54140-1006
Mailing address
1502 Biscayne Dr
Little Chute, WI 54140-1006
Phone (920) 277-3454
Other providers in Little Chute, WI
- Meena P Vir
- Walgreen Co
- Tammy E Weyenberg
- Carolyn Weyers
- Mathew Lee Wibel
- Amanda Wolf
- Dayna Wolf
- Amanda J Woolf
- Lori Wright
All providers in Little Chute, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.