Kaitlyn Hanson, RN
Individual provider Active NPI Registered Nurse · Brooklyn, WI
NPI 1366825952 · NPPES record last updated Jul 1, 2015
Key facts
- NPI
- 1366825952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 170025 (WI)
- Practice address
- 3639 Old Stage Rd
Brooklyn, WI 53521-9410 - Phone
- (608) 469-0763
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170025 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 170025 | WI | Yes |
Addresses
Primary practice location
3639 Old Stage Rd
Brooklyn, WI 53521-9410
Mailing address
3639 Old Stage Rd
Brooklyn, WI 53521-9410
Phone (608) 469-0763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8447607984 | Medicaid | WI |
Other names
- Kaitlyn Crowell
Other providers in Brooklyn, WI
- Keni Lynn Christiansen
- Jacqueline Connell
- Deanna Marie Croson
- Taylor Curran
- Ava Rose David
- Chad E Hermsdorf
- Mary S Landry
- William Murray
- Amara Ann Nicolaizander
- Amy Denise Noble
All providers in Brooklyn, 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 Jul 1, 2015. 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.