Kristin Ruth Kronberger, RN
Individual provider Active NPI Registered Nurse · Hiles, WI
NPI 1851612436 · NPPES record last updated Jun 17, 2010
Key facts
- NPI
- 1851612436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 131647-030 (WI)
- Practice address
- 7956 W Pine Lake Rd
Hiles, WI 54511-9029 - Phone
- (715) 649-3883
- NPI assigned
- Jun 17, 2010
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131647-030 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 131647-030 | WI | Yes |
Addresses
Primary practice location
7956 W Pine Lake Rd
Hiles, WI 54511-9029
Mailing address
7956 W Pine Lake Rd
Hiles, WI 54511-9029
Phone (715) 649-3883
Other providers in Hiles, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. 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.